Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.31 / $239.31 / $462.70	Facility		$239.31	$239.31	$462.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $239.31 / $11,231.55	Professional		$203.58	$239.31	$11,231.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.92 / $243.92 / $243.92	Facility		$243.92	$243.92	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.46 / $217.35 / $260.58	Professional		$208.46	$217.35	$260.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $203.58 / $382.90	Professional		$145.97	$203.58	$382.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $239.31 / $294.56	Facility		$153.00	$239.31	$294.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $233.42 / $327.56	Professional		$192.74	$233.42	$327.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $327.56 / $442.74	Facility		$219.11	$327.56	$442.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $247.88 / $385.64	Professional		$153.00	$247.88	$385.64
United Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $209.69 / $242.26	Professional		$179.15	$209.69	$242.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $212.20 / $212.20	Facility		$212.20	$212.20	$212.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $212.20 / $212.20	Professional		$212.20	$212.20	$212.20