Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $369.66 / $380.75	Facility		$172.80	$369.66	$380.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $350.78 / $708.80	Professional		$112.45	$350.78	$708.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $136.94 / $163.92	Professional		$131.13	$136.94	$163.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $263.98 / $573.41	Professional		$112.45	$263.98	$573.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $154.44 / $369.66	Facility		$114.48	$154.44	$369.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $206.73	Professional		$114.48	$114.48	$206.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $181.02 / $267.33	Facility		$137.38	$181.02	$267.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $172.48 / $325.98	Professional		$137.38	$172.48	$325.98
United Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $112.45 / $115.82	Professional		$98.96	$112.45	$115.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Facility		$114.48	$114.48	$114.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Professional		$114.48	$114.48	$114.48