Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.93 / $169.93 / $193.87	Facility		$169.93	$169.93	$193.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $169.14 / $224.00	Professional		$82.82	$169.14	$224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $293.12	Facility		$178.39	$178.39	$293.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $295.91 / $386.25	Professional		$178.39	$295.91	$386.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $290.41 / $313.77	Professional		$266.47	$290.41	$313.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.09 / $342.40 / $1,247.08	Facility		$182.09	$342.40	$1,247.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $177.26 / $364.08	Professional		$127.39	$177.26	$364.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $292.26 / $293.12 / $364.33	Facility		$292.26	$293.12	$364.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $342.40 / $560.15	Professional		$240.06	$342.40	$560.15
United Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $132.94 / $330.36	Professional		$127.39	$132.94	$330.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Facility		$261.14	$261.14	$261.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.30 / $261.14 / $261.14	Professional		$206.30	$261.14	$261.14