Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $127.79 / $133.72	Facility		$127.79	$127.79	$133.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $115.47 / $218.88	Professional		$91.64	$115.47	$218.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $202.18	Facility		$126.23	$126.23	$202.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $213.38 / $266.72	Professional		$126.23	$213.38	$266.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $193.61 / $212.99	Professional		$174.61	$193.61	$212.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.47 / $236.18 / $1,009.99	Facility		$115.47	$236.18	$1,009.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $103.60 / $251.13	Professional		$87.87	$103.60	$251.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $202.18 / $279.23	Facility		$201.60	$202.18	$279.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $238.94 / $386.39	Professional		$165.59	$238.94	$386.39
United Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $91.70 / $239.08	Professional		$87.87	$91.70	$239.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $180.12 / $180.12	Facility		$180.12	$180.12	$180.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $180.12 / $180.12	Professional		$142.29	$180.12	$180.12