Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.33 / $199.36 / $199.36	Facility		$189.33	$199.36	$199.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $149.90 / $222.92	Professional		$103.41	$149.90	$222.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $284.23	Facility		$185.61	$185.61	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.61 / $332.63 / $415.78	Professional		$185.61	$332.63	$415.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $302.14 / $343.51	Professional		$244.09	$302.14	$343.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.32 / $332.02 / $1,347.14	Facility		$162.32	$332.02	$1,347.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $140.66 / $353.04	Professional		$123.41	$140.66	$353.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $284.23 / $379.16	Facility		$283.39	$284.23	$379.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $335.91 / $543.16	Professional		$232.79	$335.91	$543.16
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $128.91 / $304.05	Professional		$123.41	$128.91	$304.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $253.22 / $253.22	Facility		$253.22	$253.22	$253.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $253.22 / $253.22	Professional		$200.04	$253.22	$253.22