Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.35 / $219.35 / $428.29	Facility		$219.35	$219.35	$428.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $219.35	Professional		$193.76	$193.76	$219.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.40 / $197.40 / $197.40	Facility		$197.40	$197.40	$197.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $189.83 / $237.28	Professional		$189.83	$189.83	$237.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $193.76 / $350.71	Professional		$150.00	$193.76	$350.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $206.87 / $286.91	Facility		$189.75	$206.87	$286.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $189.75 / $242.20	Professional		$189.75	$189.75	$242.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.57 / $279.47 / $437.83	Facility		$223.57	$279.47	$437.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $223.57 / $279.45	Professional		$206.87	$223.57	$279.45
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $213.14	Professional		$193.76	$193.76	$213.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $189.75 / $189.75	Facility		$189.75	$189.75	$189.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $189.75 / $189.75	Professional		$189.75	$189.75	$189.75