Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.53 / $157.53 / $157.78	Facility		$157.53	$157.53	$157.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $130.25 / $193.69	Professional		$97.32	$130.25	$193.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $316.25	Facility		$135.51	$135.51	$316.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $262.88 / $328.59	Professional		$135.51	$262.88	$328.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $336.16 / $550.14	Professional		$215.38	$336.16	$550.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.61 / $331.03 / $1,155.77	Facility		$180.61	$331.03	$1,155.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $143.43 / $377.10	Professional		$108.19	$143.43	$377.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.33 / $316.25 / $379.03	Facility		$315.33	$316.25	$379.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.94 / $340.58 / $604.34	Professional		$248.94	$340.58	$604.34
United Facility/Professional Professional Modifier Low / Median / High Price $107.23 / $143.43 / $294.74	Professional		$107.23	$143.43	$294.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $281.75 / $281.75	Facility		$281.75	$281.75	$281.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $281.75 / $281.75	Professional		$222.58	$281.75	$281.75