Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $159.81 / $159.81	Facility		$135.65	$159.81	$159.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $117.12 / $182.90	Professional		$84.85	$117.12	$182.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $205.08	Facility		$116.51	$116.51	$205.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $266.63 / $333.28	Professional		$116.51	$266.63	$333.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $232.66 / $252.12	Professional		$177.46	$232.66	$252.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $239.57 / $992.11	Facility		$117.12	$239.57	$992.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $105.09 / $254.75	Professional		$89.13	$105.09	$254.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.49 / $205.08 / $283.25	Facility		$204.49	$205.08	$283.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $242.37 / $391.90	Professional		$167.98	$242.37	$391.90
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $92.18 / $110.64	Facility		$76.81	$92.18	$110.64
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.17 / $244.56	Professional		$89.13	$93.17	$244.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $182.71 / $182.71 / $182.71	Facility		$182.71	$182.71	$182.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $182.71 / $182.71	Professional		$144.34	$182.71	$182.71