Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.13 / $259.52 / $23,127.78	Facility		$199.13	$259.52	$23,127.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $199.13 / $338.66	Professional		$172.22	$199.13	$338.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $165.53 / $206.91	Professional		$165.53	$165.53	$206.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $172.22 / $311.72	Professional		$150.00	$172.22	$311.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $172.52 / $211.16	Facility		$65.00	$172.52	$211.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $171.94 / $234.56	Professional		$100.79	$171.94	$234.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $243.65 / $324.86	Facility		$132.05	$243.65	$324.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $185.17 / $243.65	Professional		$79.81	$185.17	$243.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.16 / $0.16	Facility		$0.16	$0.16	$0.16
United Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $172.22 / $175.66	Professional		$146.38	$172.22	$175.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Facility		$171.94	$171.94	$171.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $171.94 / $171.94	Professional		$171.94	$171.94	$171.94