Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.60 / $128.60 / $148.94	Facility		$128.60	$128.60	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $92.22 / $129.06	Professional		$63.96	$92.22	$129.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $168.89	Facility		$99.32	$99.32	$168.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $178.13 / $222.66	Professional		$99.32	$178.13	$222.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $165.75 / $198.97	Professional		$148.91	$165.75	$198.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.91 / $199.60 / $799.68	Facility		$97.91	$199.60	$799.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $102.14 / $209.79	Professional		$75.92	$102.14	$209.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.89 / $233.26	Facility		$168.40	$168.89	$233.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $197.29 / $322.77	Professional		$150.00	$197.29	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $76.59 / $181.87	Professional		$75.92	$76.59	$181.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $150.47 / $150.47	Facility		$150.47	$150.47	$150.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $150.47 / $150.47	Professional		$118.87	$150.47	$150.47