Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $158.99 / $158.99	Facility		$130.35	$158.99	$158.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $117.61 / $162.81	Professional		$82.01	$117.61	$162.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $216.74	Facility		$111.95	$111.95	$216.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $265.13 / $331.41	Professional		$111.95	$265.13	$331.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $168.15 / $228.81	Professional		$152.85	$168.15	$228.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.78 / $253.18 / $949.34	Facility		$123.78	$253.18	$949.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $103.30 / $269.20	Professional		$89.38	$103.30	$269.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $216.74 / $272.17	Facility		$216.10	$216.74	$272.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $253.18 / $414.18	Professional		$177.52	$253.18	$414.18
United Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $98.30 / $258.44	Professional		$88.58	$98.30	$258.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $193.10 / $193.10 / $193.10	Facility		$193.10	$193.10	$193.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $193.10 / $193.10	Professional		$152.55	$193.10	$193.10