Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.82 / $131.54 / $131.54	Facility		$109.82	$131.54	$131.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $97.30 / $145.46	Professional		$70.26	$97.30	$145.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $171.38	Facility		$117.36	$117.36	$171.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $213.83 / $274.22	Professional		$117.36	$213.83	$274.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $181.34 / $192.16	Professional		$148.29	$181.34	$192.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $200.19 / $791.34	Facility		$97.87	$200.19	$791.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $85.07 / $212.86	Professional		$74.47	$85.07	$212.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.88 / $171.38 / $229.31	Facility		$170.88	$171.38	$229.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $202.54 / $327.47	Professional		$140.33	$202.54	$327.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $77.72 / $204.35	Professional		$74.47	$77.72	$204.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $152.68 / $152.68 / $152.68	Facility		$152.68	$152.68	$152.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $152.68 / $152.68	Professional		$120.62	$152.68	$152.68