Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $177.83	Facility		$131.83	$131.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $173.78	Professional		$79.43	$123.03	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $234.42	Facility		$120.23	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $371.54	Professional		$120.23	$295.12	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $257.04	Professional		$186.21	$218.78	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $977.24	Facility		$141.25	$257.04	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $363.08	Professional		$95.50	$125.89	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $288.40	Professional		$229.09	$239.88	$288.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $346.74	Professional		$218.78	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $309.03	Facility		$74.13	$125.89	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $199.53	Professional		$95.50	$104.71	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $204.17	Professional		$162.18	$204.17	$204.17