Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.29 / $291.88 / $751.76	Facility		$235.29	$291.88	$751.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $291.88 / $456.61	Professional		$235.29	$291.88	$456.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $163.81 / $198.52	Professional		$158.81	$163.81	$198.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $155.88 / $341.40	Professional		$150.00	$155.88	$341.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $187.06 / $291.88	Facility		$157.68	$187.06	$291.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $283.42 / $300.68	Professional		$187.06	$283.42	$300.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.06 / $233.82 / $323.32	Facility		$187.06	$233.82	$323.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $194.53 / $393.25	Professional		$167.60	$194.53	$393.25
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $291.92	Professional		$283.42	$283.42	$291.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $80.98 / $80.98	Facility		$80.98	$80.98	$80.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $80.98 / $80.98	Professional		$80.98	$80.98	$80.98