Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $170.01	Facility		$141.12	$141.12	$170.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $127.47 / $194.88	Professional		$89.79	$127.47	$194.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $202.39	Facility		$123.98	$123.98	$202.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $251.25 / $323.01	Professional		$123.98	$251.25	$323.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $22.40 / $374.95	Professional		$22.40	$22.40	$374.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $367.20 / $1,102.70	Facility		$33.79	$367.20	$1,102.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $131.99 / $268.52	Professional		$87.99	$131.99	$268.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $29.05 / $68.67	Facility		$29.05	$29.05	$68.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.72 / $68.67	Professional		$28.84	$34.72	$68.67
United Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $122.23 / $263.94	Professional		$87.99	$122.23	$263.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $237.69 / $237.69	Professional		$187.78	$237.69	$237.69