Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $177.83	Facility		$128.82	$144.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $194.98	Professional		$123.03	$151.36	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $416.87	Professional		$158.49	$331.13	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $457.09	Professional		$169.82	$436.52	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $389.05 / $831.76	Facility		$165.96	$389.05	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $354.81	Professional		$165.96	$269.15	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $371.54	Professional		$269.15	$346.74	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $398.11	Professional		$165.96	$251.19	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $263.03	Professional		$204.17	$263.03	$263.03