Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.27 / $151.29 / $151.29	Facility		$140.27	$151.29	$151.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $115.80 / $172.20	Professional		$79.34	$115.80	$172.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $212.08	Facility		$138.33	$138.33	$212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $252.38 / $315.47	Professional		$203.61	$252.38	$315.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $218.44 / $236.71	Professional		$183.16	$218.44	$236.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $247.74 / $969.09	Facility		$121.12	$247.74	$969.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $108.67 / $263.42	Professional		$92.17	$108.67	$263.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $211.46 / $212.08 / $292.89	Facility		$211.46	$212.08	$292.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $247.74 / $405.28	Professional		$173.70	$247.74	$405.28
United Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $96.19 / $226.86	Professional		$92.17	$96.19	$226.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $188.94 / $188.94 / $188.94	Facility		$188.94	$188.94	$188.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $188.94 / $188.94	Professional		$149.26	$188.94	$188.94