Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $165.28 / $186.35	Professional		$151.57	$165.28	$186.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $201.38 / $251.72	Professional		$201.38	$201.38	$251.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.86 / $308.04	Professional		$150.00	$170.86	$308.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.06 / $321.37 / $934.12	Facility		$145.06	$321.37	$934.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $278.97 / $453.09	Professional		$214.64	$278.97	$453.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.47 / $271.05 / $432.12	Facility		$230.47	$271.05	$432.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $321.37 / $493.84	Professional		$230.47	$321.37	$493.84
United Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $234.16 / $431.24	Professional		$214.64	$234.16	$431.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $229.60	Professional		$1.00	$1.00	$229.60