Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $157.68 / $189.98	Facility		$157.68	$157.68	$189.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $148.51 / $217.74	Professional		$106.92	$148.51	$217.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $337.78	Facility		$160.96	$160.96	$337.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $274.13 / $350.00	Professional		$160.96	$274.13	$350.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $25.03 / $25.03	Professional		$22.47	$25.03	$25.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $410.28 / $1,154.28	Facility		$79.84	$410.28	$1,154.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $168.15 / $356.77	Professional		$125.95	$168.15	$356.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $33.78 / $79.84	Facility		$33.78	$33.78	$79.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $40.38 / $79.84	Professional		$33.54	$40.38	$79.84
United Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $150.07 / $356.77	Professional		$130.27	$150.07	$356.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $276.36 / $276.36	Professional		$218.32	$276.36	$276.36