Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $212.76 / $212.76	Facility		$192.63	$212.76	$212.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.42 / $210.37 / $248.32	Professional		$172.42	$210.37	$248.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $312.95 / $329.53	Professional		$263.63	$312.95	$329.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $142.53 / $166.58	Professional		$125.35	$142.53	$166.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $495.25 / $1,141.64	Facility		$249.48	$495.25	$1,141.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $393.97 / $545.26	Professional		$217.12	$393.97	$545.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.45 / $312.95 / $495.25	Facility		$256.45	$312.95	$495.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $258.20 / $495.25	Professional		$256.45	$258.20	$495.25
United Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $334.13 / $528.98	Professional		$217.12	$334.13	$528.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $147.40 / $147.40	Professional		$147.40	$147.40	$147.40