Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $218.78 / $316.23	Facility		$87.10	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $138.04	Professional		$75.86	$91.20	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $275.42	Professional		$165.96	$218.78	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $199.53	Professional		$97.72	$147.91	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $295.12	Facility		$114.82	$138.04	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $263.03	Professional		$69.18	$102.33	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $251.19	Facility		$114.82	$114.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $251.19	Professional		$69.18	$69.18	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $114.82	Professional		$91.20	$114.82	$114.82