Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $236.36 / $343.78	Facility		$114.92	$236.36	$343.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $168.93 / $344.14	Professional		$113.43	$168.93	$344.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $163.65 / $240.52 / $578.00	Professional	25	$163.65	$240.52	$578.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $308.76 / $475.63	Professional		$205.00	$308.76	$475.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $203.68 / $351.10	Professional		$115.09	$203.68	$351.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $211.10 / $392.24	Facility		$125.00	$211.10	$392.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $269.45 / $887.76	Professional		$187.67	$269.45	$887.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $301.80 / $392.24	Facility		$201.36	$301.80	$392.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $298.52 / $398.31	Professional		$201.36	$298.52	$398.31
United Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $211.04 / $390.57	Professional		$167.08	$211.04	$390.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $197.66 / $294.39	Professional		$167.00	$197.66	$294.39