Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $143.88 / $17,532.87	Facility		$143.88	$143.88	$17,532.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $143.88 / $169.79	Professional		$122.99	$143.88	$169.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $261.02 / $413.09	Professional		$147.91	$261.02	$413.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $221.59 / $413.09	Facility		$143.88	$221.59	$413.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $923.86	Professional		$342.87	$342.87	$923.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $261.02 / $413.09	Facility		$261.02	$261.02	$413.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $261.02 / $413.09	Professional		$158.88	$261.02	$413.09
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $377.16	Professional		$342.87	$342.87	$377.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $213.20 / $213.20	Facility		$213.20	$213.20	$213.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $213.20 / $213.20	Professional		$168.43	$213.20	$213.20