Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $181.97 / $181.97	Facility		$158.49	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $194.98	Professional		$93.33	$120.23	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $323.59	Facility		$134.90	$134.90	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $331.13	Professional		$134.90	$263.03	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $512.86 / $549.54	Professional		$213.80	$512.86	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $1,148.15	Facility		$181.97	$331.13	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $478.63	Professional		$107.15	$162.18	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $371.54	Professional		$316.23	$331.13	$371.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $478.63	Professional		$251.19	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $144.54 / $354.81	Facility		$83.18	$144.54	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $251.19	Professional		$107.15	$144.54	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Professional		$223.87	$281.84	$281.84