Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $537.03	Facility		$151.36	$371.54	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $251.19	Professional		$131.83	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $257.04	Professional		$208.93	$239.88	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $758.58	Professional		$169.82	$302.00	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $512.86	Facility		$154.88	$239.88	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $501.19	Professional		$100.00	$165.96	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Professional		$239.88	$239.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $436.52	Facility		$199.53	$199.53	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $436.52	Professional		$100.00	$120.23	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53