Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $215.54 / $281.72	Facility		$190.55	$215.54	$281.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $211.86 / $355.46	Professional		$127.45	$211.86	$355.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $129.86 / $129.86	Facility		$129.86	$129.86	$129.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $145.24 / $167.44	Professional		$133.94	$145.24	$167.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $149.87 / $306.58	Professional		$127.45	$149.87	$306.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $157.75 / $215.54	Facility		$126.24	$157.75	$215.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $196.79	Professional		$126.24	$126.24	$196.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $199.77 / $312.97	Facility		$151.49	$199.77	$312.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.49 / $163.04 / $335.87	Professional		$151.49	$163.04	$335.87
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $140.19	Professional		$127.45	$127.45	$140.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Facility		$126.24	$126.24	$126.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Professional		$126.24	$126.24	$126.24