Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $295.12	Facility		$144.54	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Professional		$123.03	$144.54	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $302.00	Professional		$173.78	$218.78	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $158.49	Professional		$125.89	$147.91	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $794.33	Facility		$128.82	$199.53	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $1,096.48	Professional		$186.21	$269.15	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $707.95	Professional		$208.93	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $407.38	Professional		$177.83	$234.42	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87