Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $179.20 / $179.20	Facility		$179.20	$179.20	$179.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $191.41 / $245.48	Professional		$96.81	$191.41	$245.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.88 / $298.88 / $373.59	Professional		$298.88	$298.88	$373.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.31 / $257.89 / $466.80	Professional		$256.31	$257.89	$466.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.91 / $331.40 / $1,206.97	Facility		$240.91	$331.40	$1,206.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $265.36 / $431.53	Professional		$131.88	$265.36	$431.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.87 / $287.69 / $354.50	Facility		$282.87	$287.69	$354.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $322.54 / $542.13	Professional		$228.53	$322.54	$542.13
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $214.44 / $450.32	Professional		$128.66	$214.44	$450.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $257.89 / $257.89	Facility		$257.89	$257.89	$257.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $257.89	Professional		$257.89	$257.89	$257.89