Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $89.21 / $400.57	Facility		$89.21	$89.21	$400.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $181.22 / $295.06	Professional		$89.21	$181.22	$295.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $196.50 / $222.61	Professional		$178.09	$196.50	$222.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $328.01 / $339.47	Professional		$181.22	$328.01	$339.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $208.60 / $297.07	Facility		$89.21	$208.60	$297.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $306.17	Professional		$175.82	$175.82	$306.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.60 / $260.76 / $373.38	Facility		$208.60	$260.76	$373.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $210.98 / $345.70	Professional		$198.17	$210.98	$345.70
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $186.66	Professional		$181.22	$181.22	$186.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $175.82 / $175.82	Facility		$175.82	$175.82	$175.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $175.82 / $175.82	Professional		$175.82	$175.82	$175.82