Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $205.84 / $456.65	Facility		$205.84	$205.84	$456.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $206.59 / $457.16	Professional		$205.84	$206.59	$457.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Facility		$210.49	$210.49	$210.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $205.39 / $256.73	Professional		$205.39	$205.39	$256.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $206.59 / $454.06	Professional		$145.43	$206.59	$454.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.84 / $206.62 / $274.94	Facility		$205.84	$206.62	$274.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $206.62 / $302.45	Professional		$199.45	$206.62	$302.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $302.45 / $414.29	Facility		$226.32	$302.45	$414.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $232.15 / $335.44	Professional		$184.36	$232.15	$335.44
United Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $206.59 / $212.79	Professional		$201.64	$206.59	$212.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $206.62 / $206.62	Facility		$206.62	$206.62	$206.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $206.62 / $206.62	Professional		$206.62	$206.62	$206.62