Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $156.91 / $187.89	Facility		$156.91	$156.91	$187.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $135.63 / $201.71	Professional		$92.94	$135.63	$201.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $248.42	Facility		$141.12	$141.12	$248.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $261.75 / $327.19	Professional		$211.20	$261.75	$327.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $243.54 / $263.13	Professional		$214.55	$243.54	$263.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.87 / $290.18 / $1,262.20	Facility		$141.87	$290.18	$1,262.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $127.29 / $308.56	Professional		$107.96	$127.29	$308.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.69 / $248.42 / $343.08	Facility		$247.69	$248.42	$343.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $220.14 / $290.18 / $474.72	Professional		$220.14	$290.18	$474.72
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $112.67 / $265.69	Professional		$107.96	$112.67	$265.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $221.32 / $221.32 / $221.32	Facility		$221.32	$221.32	$221.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $221.32 / $221.32	Professional		$174.84	$221.32	$221.32