Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $286.20	Facility		$147.18	$147.18	$286.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $147.18 / $320.70	Professional		$129.47	$147.18	$320.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $131.93 / $131.93	Facility		$131.93	$131.93	$131.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $132.25 / $164.91	Professional		$131.93	$132.25	$164.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $129.47 / $300.43	Professional		$89.78	$129.47	$300.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $147.18 / $199.43	Facility		$129.58	$147.18	$199.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $129.58 / $193.02	Professional		$129.58	$129.58	$193.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $193.02 / $302.39	Facility		$154.41	$193.02	$302.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $155.49 / $193.02	Professional		$146.69	$155.49	$193.02
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $133.36	Professional		$129.47	$129.47	$133.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Facility		$129.58	$129.58	$129.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $129.58 / $129.58	Professional		$129.58	$129.58	$129.58