Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $131.22 / $147.75	Facility		$131.22	$131.22	$147.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $118.80 / $181.21	Professional		$67.04	$118.80	$181.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $240.72	Facility		$134.41	$134.41	$240.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $253.88 / $317.33	Professional		$134.41	$253.88	$317.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $20.59 / $21.67	Professional		$18.42	$20.59	$21.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $252.07 / $997.78	Facility		$56.34	$252.07	$997.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $109.18 / $299.00	Professional		$78.65	$109.18	$299.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $56.34	Facility		$23.84	$23.84	$56.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $28.57 / $56.34	Professional		$23.76	$28.57	$56.34
United Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $109.18 / $299.00	Professional		$90.86	$109.18	$299.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $196.96 / $196.96	Professional		$155.60	$196.96	$196.96