Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.03 / $386.63 / $540.80	Facility		$153.03	$386.63	$540.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $153.03 / $537.14	Professional		$131.16	$153.03	$537.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $238.49 / $259.22	Professional		$207.38	$238.49	$259.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $298.11 / $628.69	Professional		$168.93	$298.11	$628.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $259.76 / $637.30	Facility		$156.29	$259.76	$637.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $149.06 / $506.39	Professional		$99.62	$149.06	$506.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.69 / $282.11 / $516.72	Facility		$238.69	$282.11	$516.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $238.49 / $282.11 / $506.79	Professional		$238.49	$282.11	$506.79
United Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $119.24 / $367.67	Professional		$99.62	$119.24	$367.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $198.74 / $198.74	Professional		$157.00	$198.74	$198.74