Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.37 / $169.37 / $189.10	Facility		$169.37	$169.37	$189.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $125.29 / $183.76	Professional		$85.25	$125.29	$183.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $220.02	Facility		$142.94	$142.94	$220.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $282.75 / $353.44	Professional		$142.94	$282.75	$353.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $212.66 / $243.75	Professional		$190.39	$212.66	$243.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.66 / $260.02 / $1,059.51	Facility		$125.66	$260.02	$1,059.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $112.73 / $273.30	Professional		$95.62	$112.73	$273.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $223.12 / $304.81	Facility		$220.02	$223.12	$304.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $260.02 / $420.45	Professional		$206.11	$260.02	$420.45
United Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $99.79 / $235.39	Professional		$97.70	$99.79	$235.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $196.02	Facility		$196.02	$196.02	$196.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $196.02 / $196.02	Professional		$154.86	$196.02	$196.02