Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.23 / $129.94 / $129.94	Facility		$110.23	$129.94	$129.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.12 / $180.43	Professional		$69.12	$96.12	$180.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $172.54	Facility		$132.63	$132.63	$172.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $216.75 / $270.94	Professional		$132.63	$216.75	$270.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $192.68 / $208.18	Professional		$149.29	$192.68	$208.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.53 / $201.54 / $797.99	Facility		$98.53	$201.54	$797.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $85.40 / $214.31	Professional		$74.91	$85.40	$214.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $172.54 / $230.17	Facility		$172.03	$172.54	$230.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $203.91 / $329.72	Professional		$141.31	$203.91	$329.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $78.25 / $184.49	Professional		$74.91	$78.25	$184.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $153.71 / $153.71	Facility		$153.71	$153.71	$153.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $153.71 / $153.71	Professional		$121.43	$153.71	$153.71