Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $176.86 / $176.86	Facility		$138.88	$176.86	$176.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $129.54 / $175.29	Professional		$78.56	$129.54	$175.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $229.90	Facility		$119.29	$119.29	$229.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $295.13 / $368.91	Professional		$229.90	$295.13	$368.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $216.35 / $254.53	Professional		$194.36	$216.35	$254.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $268.56 / $980.51	Facility		$131.29	$268.56	$980.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $110.07 / $285.56	Professional		$95.24	$110.07	$285.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $229.90 / $290.02	Facility		$229.22	$229.90	$290.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $268.56 / $439.34	Professional		$188.28	$268.56	$439.34
United Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $104.27 / $245.82	Professional		$94.39	$104.27	$245.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $204.82 / $204.82	Facility		$204.82	$204.82	$204.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $204.82 / $204.82	Professional		$161.81	$204.82	$204.82