Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $158.49	Facility		$123.03	$123.03	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $162.18	Professional		$77.62	$114.82	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Facility		$112.20	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $331.13	Professional		$112.20	$263.03	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $229.09	Professional		$151.36	$165.96	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $954.99	Facility		$134.90	$239.88	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $331.13	Professional		$91.20	$120.23	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $269.15	Professional		$213.80	$223.87	$269.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $331.13	Professional		$204.17	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $295.12	Facility		$69.18	$120.23	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $186.21	Professional		$89.13	$97.72	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $194.98	Professional		$151.36	$194.98	$194.98