Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $203.22 / $447.61	Facility		$203.22	$203.22	$447.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $344.50	Professional		$204.61	$204.61	$344.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $200.06 / $200.06	Facility		$200.06	$200.06	$200.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.10 / $211.35 / $261.38	Professional		$209.10	$211.35	$261.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $218.89 / $305.98	Professional		$143.58	$218.89	$305.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $246.33 / $1,026.20	Facility		$203.22	$246.33	$1,026.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $205.28 / $284.04	Professional		$82.11	$205.28	$284.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.18 / $267.22 / $431.78	Facility		$240.18	$267.22	$431.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $246.28 / $421.55	Professional		$234.33	$246.28	$421.55
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $265.99	Professional		$81.84	$204.61	$265.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $205.28 / $205.28	Facility		$205.28	$205.28	$205.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $205.28 / $224.64	Professional		$177.47	$205.28	$224.64