Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $167.65 / $178.13	Professional		$167.65	$167.65	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $207.93 / $207.93	Professional		$178.13	$207.93	$207.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $209.56 / $293.39	Facility		$51.02	$209.56	$293.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $405.80	Professional		$202.90	$202.90	$405.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $207.93 / $207.93	Facility		$207.93	$207.93	$207.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $207.93 / $207.93	Professional		$207.93	$207.93	$207.93
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $223.19	Professional		$202.90	$202.90	$223.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $173.13 / $173.13	Facility		$173.13	$173.13	$173.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $173.13 / $173.13	Professional		$136.77	$173.13	$173.13