Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $218.78	Facility		$138.04	$165.96	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $229.09	Professional		$134.90	$181.97	$229.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	25	$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $457.09	Professional		$173.78	$363.08	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $489.78	Professional		$186.21	$398.11	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $912.01	Facility		$181.97	$446.68	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $426.58	Professional		$204.17	$331.13	$426.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $426.58	Professional		$288.40	$398.11	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $501.19	Professional		$204.17	$309.03	$501.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Professional		$223.87	$281.84	$281.84