Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.44 / $180.44 / $191.00	Facility		$180.44	$180.44	$191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $139.34 / $233.20	Professional		$104.31	$139.34	$233.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $284.23	Facility		$168.00	$168.00	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $301.13 / $376.41	Professional		$242.86	$301.13	$376.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.14 / $335.17	Professional		$245.47	$302.14	$335.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.32 / $306.75 / $1,209.31	Facility		$162.32	$306.75	$1,209.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $133.76 / $352.43	Professional		$115.74	$133.76	$352.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $284.23 / $352.43	Facility		$283.39	$284.23	$352.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $332.02 / $543.16	Professional		$232.79	$332.02	$543.16
United Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $128.91 / $304.05	Professional		$115.74	$128.91	$304.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $253.22 / $253.22	Facility		$253.22	$253.22	$253.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $253.22 / $253.22	Professional		$200.04	$253.22	$253.22