Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $190.55	Facility		$125.89	$125.89	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $181.97	Professional		$87.10	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $223.87	Facility		$144.54	$144.54	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $354.81	Professional		$144.54	$281.84	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $245.47	Professional		$190.55	$213.80	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $1,071.52	Facility		$138.04	$257.04	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $354.81	Professional		$97.72	$128.82	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $302.00	Professional		$218.78	$239.88	$302.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $331.13	Professional		$229.09	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $323.59	Facility		$77.62	$131.83	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $190.55	Professional		$97.72	$100.00	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $194.98	Professional		$154.88	$194.98	$194.98