Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $280.63 / $530.19	Facility		$243.61	$280.63	$530.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $282.58	Professional		$243.61	$243.61	$282.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $238.54 / $238.54	Facility		$238.54	$238.54	$238.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $242.63 / $300.27	Professional		$240.23	$242.63	$300.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.89 / $243.61 / $329.28	Professional		$194.89	$243.61	$329.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $353.93 / $1,178.84	Facility		$243.15	$353.93	$1,178.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $243.15 / $306.73	Professional		$97.26	$243.15	$306.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.98 / $306.73 / $478.30	Facility		$268.98	$306.73	$478.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $282.93 / $542.21	Professional		$262.64	$282.93	$542.21
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $272.83	Professional		$97.44	$243.61	$272.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.15 / $243.15	Facility		$243.15	$243.15	$243.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $243.15 / $266.08	Professional		$210.21	$243.15	$266.08