Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $389.05 / $562.34	Facility		$147.91	$389.05	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $234.42	Professional		$125.89	$162.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $588.84	Professional		$354.81	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $446.68	Professional		$151.36	$309.03	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $575.44	Facility		$245.47	$295.12	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $489.78	Professional		$117.49	$131.83	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $549.54	Facility		$245.47	$245.47	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $446.68	Professional		$117.49	$123.03	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $245.47	Professional		$194.98	$245.47	$245.47