Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $495.25 / $495.25	Facility		$147.47	$495.25	$495.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $327.45 / $830.00	Professional		$114.54	$327.45	$830.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $130.66 / $159.61	Professional		$127.69	$130.66	$159.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $349.90 / $745.68	Professional		$114.54	$349.90	$745.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $148.49 / $495.25	Facility		$97.70	$148.49	$495.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $247.00	Professional		$97.70	$97.70	$247.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $161.25 / $254.75	Facility		$117.24	$161.25	$254.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $171.26 / $313.91	Professional		$106.07	$171.26	$313.91
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $117.98	Professional		$114.54	$114.54	$117.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Facility		$97.70	$97.70	$97.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70