Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.12 / $145.19 / $170.83	Facility		$128.12	$145.19	$170.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $150.32 / $182.61	Professional		$125.64	$150.32	$182.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $327.32 / $409.15	Professional		$158.51	$327.32	$409.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $256.83 / $441.78	Professional		$169.17	$256.83	$441.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $369.56 / $832.62	Facility		$164.80	$369.56	$832.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $274.20 / $401.24	Professional		$181.44	$274.20	$401.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.87 / $330.72 / $369.56	Facility		$266.87	$330.72	$369.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $341.03 / $440.64	Professional		$212.64	$341.03	$440.64
United Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $282.04 / $401.24	Professional		$164.16	$282.04	$401.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $205.64 / $260.30 / $260.30	Professional		$205.64	$260.30	$260.30