Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $109.12 / $122.10	Facility		$109.12	$109.12	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $84.86 / $131.49	Professional		$60.36	$84.86	$131.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $197.59	Facility		$102.60	$102.60	$197.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $182.25 / $227.81	Professional		$102.60	$182.25	$227.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $160.00 / $217.44	Professional		$147.22	$160.00	$217.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.84 / $206.81 / $744.59	Facility		$112.84	$206.81	$744.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $89.62 / $235.62	Professional		$70.48	$89.62	$235.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.59 / $236.82	Facility		$197.02	$197.59	$236.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $214.65 / $377.61	Professional		$159.16	$214.65	$377.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $89.62 / $204.17	Professional		$78.26	$89.62	$204.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $176.04 / $176.04 / $176.04	Facility		$176.04	$176.04	$176.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.07 / $176.04 / $176.04	Professional		$139.07	$176.04	$176.04