Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.04 / $133.04 / $160.33	Facility		$133.04	$133.04	$160.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $121.06 / $183.72	Professional		$92.29	$121.06	$183.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $286.85	Facility		$123.59	$123.59	$286.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $222.38 / $284.00	Professional		$123.59	$222.38	$284.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $19.46 / $19.84	Professional		$18.23	$19.46	$19.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $346.16 / $886.11	Facility		$61.72	$346.16	$886.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $151.77 / $306.23	Professional		$103.56	$151.77	$306.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $28.73 / $61.72	Facility		$26.11	$28.73	$61.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $34.36 / $61.72	Professional		$28.55	$34.36	$61.72
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $127.58 / $301.08	Professional		$105.88	$127.58	$301.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $234.69 / $234.69	Professional		$185.41	$234.69	$234.69