Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $234.38 / $405.83	Facility		$132.63	$234.38	$405.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $137.06 / $210.48	Professional		$112.14	$137.06	$210.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $145.94 / $182.44	Professional		$145.94	$145.94	$182.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $123.36 / $174.30	Professional		$98.69	$123.36	$174.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $156.46 / $229.79	Facility		$95.00	$156.46	$229.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $135.97 / $171.91	Professional		$103.88	$135.97	$171.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $148.69 / $171.91	Facility		$95.00	$148.69	$171.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $147.83 / $221.64	Professional		$95.00	$147.83	$221.64
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $130.87	Professional		$123.36	$123.36	$130.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Facility		$135.97	$135.97	$135.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $135.97 / $135.97	Professional		$135.97	$135.97	$135.97