Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.48 / $122.48 / $152.37	Facility		$122.48	$122.48	$152.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $105.86 / $168.17	Professional		$72.54	$105.86	$168.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $204.01	Facility		$110.15	$110.15	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $204.38 / $255.47	Professional		$110.15	$204.38	$255.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $185.46 / $198.18	Professional		$167.46	$185.46	$198.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $238.30 / $923.64	Facility		$116.50	$238.30	$923.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $99.35 / $253.38	Professional		$87.16	$99.35	$253.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $204.01 / $267.79	Facility		$203.40	$204.01	$267.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $238.30 / $389.83	Professional		$178.53	$238.30	$389.83
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $92.52 / $218.23	Professional		$87.94	$92.52	$218.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $181.75 / $181.75 / $181.75	Facility		$181.75	$181.75	$181.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $181.75 / $181.75	Professional		$143.58	$181.75	$181.75