Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Facility		$158.49	$158.49	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $218.78	Professional		$85.11	$144.54	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Facility		$173.78	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $309.03 / $380.19	Professional		$22.39	$309.03	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $309.03	Professional		$25.70	$25.70	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $288.40 / $1,318.26	Facility		$30.90	$288.40	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $288.40	Professional		$91.20	$120.23	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $575.44	Professional		$223.87	$245.47	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $81.28 / $154.88	Facility		$11.22	$81.28	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $288.40	Professional		$104.71	$125.89	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04