Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $404.07 / $404.07	Facility		$137.52	$404.07	$404.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $849.59 / $2,027.52	Professional		$86.38	$849.59	$2,027.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $108.50 / $115.17	Professional		$92.14	$108.50	$115.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $285.48 / $625.79	Professional		$86.38	$285.48	$625.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $139.24 / $566.64	Facility		$91.11	$139.24	$566.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $567.00	Professional		$91.11	$91.11	$567.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $216.97 / $457.07	Facility		$108.50	$216.97	$457.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $390.56 / $794.55	Professional		$109.33	$390.56	$794.55
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $88.97	Professional		$86.38	$86.38	$88.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Facility		$91.11	$91.11	$91.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11