Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.17 / $146.63 / $146.63	Facility		$126.17	$146.63	$146.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $108.48 / $197.45	Professional		$82.93	$108.48	$197.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $190.75	Facility		$144.01	$144.01	$190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $244.50 / $305.63	Professional		$144.01	$244.50	$305.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $211.05 / $224.22	Professional		$165.06	$211.05	$224.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $222.83 / $928.70	Facility		$108.94	$222.83	$928.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $97.74 / $236.93	Professional		$82.90	$97.74	$236.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $191.00 / $263.44	Facility		$190.75	$191.00	$263.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $225.43 / $364.52	Professional		$156.22	$225.43	$364.52
United Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $86.65 / $227.46	Professional		$82.90	$86.65	$227.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $169.94 / $169.94	Facility		$169.94	$169.94	$169.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $169.94 / $169.94	Professional		$134.25	$169.94	$169.94