Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $146.94	Professional		$145.49	$145.49	$146.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $152.05 / $216.18	Professional		$130.40	$152.05	$216.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $150.00 / $263.33	Professional		$116.39	$150.00	$263.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $196.43 / $225.94	Facility		$127.55	$196.43	$225.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $255.10	Professional		$127.55	$127.55	$255.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.26 / $163.11 / $175.45	Facility		$125.26	$163.11	$175.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $163.11 / $216.18	Professional		$133.34	$163.11	$216.18
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $184.77	Professional		$145.49	$145.49	$184.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $127.55 / $127.55	Professional		$100.76	$127.55	$127.55