Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.67 / $231.67 / $508.72	Facility		$231.67	$231.67	$508.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $231.67 / $495.15	Professional		$230.15	$231.67	$495.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.49 / $234.49 / $234.49	Facility		$234.49	$234.49	$234.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $227.06 / $283.83	Professional		$227.06	$227.06	$283.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $230.15 / $443.33	Professional		$163.68	$230.15	$443.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $231.67 / $292.30	Facility		$191.00	$231.67	$292.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $230.26 / $335.28	Professional		$191.00	$230.26	$335.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $205.19 / $335.28 / $458.51	Facility		$205.19	$335.28	$458.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.60 / $254.81 / $359.24	Professional		$176.60	$254.81	$359.24
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $237.05	Professional		$230.15	$230.15	$237.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $230.26 / $230.26 / $230.26	Facility		$230.26	$230.26	$230.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $230.26 / $230.26	Professional		$230.26	$230.26	$230.26