Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $146.30 / $146.75	Facility		$146.30	$146.30	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $127.71 / $240.20	Professional		$83.16	$127.71	$240.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $236.38	Facility		$136.19	$136.19	$236.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $244.13 / $305.16	Professional		$136.19	$244.13	$305.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $268.93 / $307.72	Professional		$200.02	$268.93	$307.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.99 / $268.22 / $1,062.92	Facility		$134.99	$268.22	$1,062.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $114.03 / $293.58	Professional		$99.73	$114.03	$293.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $235.68 / $236.38 / $306.42	Facility		$235.68	$236.38	$306.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $276.12 / $451.70	Professional		$193.60	$276.12	$451.70
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $107.20 / $252.86	Professional		$99.73	$107.20	$252.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $210.59 / $210.59 / $210.59	Facility		$210.59	$210.59	$210.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $210.59 / $210.59	Professional		$166.37	$210.59	$210.59