Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $215.22	Facility		$161.50	$161.50	$215.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $139.22 / $207.03	Professional		$95.40	$139.22	$207.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $272.60	Facility		$144.84	$144.84	$272.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $271.70 / $337.03	Professional		$217.36	$271.70	$337.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $267.54 / $289.92	Professional		$220.81	$267.54	$289.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $318.44 / $1,226.72	Facility		$155.68	$318.44	$1,226.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $131.51 / $338.19	Professional		$114.61	$131.51	$338.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.81 / $272.60 / $352.14	Facility		$271.81	$272.60	$352.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.83 / $318.44 / $520.92	Professional		$246.83	$318.44	$520.92
United Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $123.64 / $291.66	Professional		$114.61	$123.64	$291.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $242.86 / $242.86	Facility		$242.86	$242.86	$242.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $191.86 / $242.86 / $242.86	Professional		$191.86	$242.86	$242.86