Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $200.38 / $564.25	Facility		$78.50	$200.38	$564.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $136.80 / $599.28	Professional		$74.73	$136.80	$599.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $137.32 / $149.53	Professional		$119.63	$137.32	$149.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $171.65 / $299.25	Professional		$125.87	$171.65	$299.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.12 / $137.43 / $305.52	Facility		$75.12	$137.43	$305.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $79.94 / $263.19	Professional		$47.96	$79.94	$263.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $162.43 / $297.52	Facility		$137.43	$162.43	$297.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $162.43 / $291.80	Professional		$125.07	$162.43	$291.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $68.66 / $211.70	Professional		$47.96	$68.66	$211.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $114.43 / $114.43	Professional		$90.40	$114.43	$114.43