Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $145.04 / $153.53	Facility		$145.04	$145.04	$153.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $112.69 / $187.44	Professional		$84.68	$112.69	$187.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $228.45	Facility		$147.05	$147.05	$228.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $241.88 / $302.33	Professional		$195.21	$241.88	$302.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $233.68 / $253.23	Professional		$178.38	$233.68	$253.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $246.57 / $981.02	Facility		$102.68	$246.57	$981.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $108.18 / $283.75	Professional		$93.61	$108.18	$283.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.78 / $228.45 / $285.04	Facility		$227.78	$228.45	$285.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.09 / $266.85 / $436.55	Professional		$187.09	$266.85	$436.55
United Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $103.61 / $244.33	Professional		$92.77	$103.61	$244.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $203.53 / $203.53	Facility		$203.53	$203.53	$203.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $203.53 / $203.53	Professional		$160.79	$203.53	$203.53