Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $346.65 / $727.67	Facility		$180.18	$346.65	$727.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $182.45 / $488.00	Professional		$180.18	$182.45	$488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $194.36 / $242.95	Professional		$194.36	$194.36	$242.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $182.45 / $386.49	Professional		$145.96	$182.45	$386.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $195.79 / $293.77	Facility		$114.00	$195.79	$293.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.15 / $195.79 / $276.27	Professional		$162.15	$195.79	$276.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $276.27 / $395.58	Facility		$209.96	$276.27	$395.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $233.31 / $431.67	Professional		$136.61	$233.31	$431.67
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $186.10	Professional		$182.45	$182.45	$186.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $195.79 / $195.79	Facility		$195.79	$195.79	$195.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $195.79	Professional		$195.79	$195.79	$195.79