Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.56 / $178.56 / $182.79	Facility		$178.56	$178.56	$182.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $138.96 / $206.65	Professional		$95.86	$138.96	$206.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $254.52	Facility		$166.23	$166.23	$254.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $297.75 / $372.19	Professional		$166.23	$297.75	$372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $256.98 / $275.05	Professional		$219.81	$256.98	$275.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.35 / $297.31 / $1,236.41	Facility		$145.35	$297.31	$1,236.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $130.41 / $316.14	Professional		$110.61	$130.41	$316.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.77 / $254.52 / $351.50	Facility		$253.77	$254.52	$351.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $300.79 / $486.38	Professional		$214.17	$300.79	$486.38
United Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $119.28 / $303.50	Professional		$110.61	$119.28	$303.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $226.75 / $226.75 / $226.75	Facility		$226.75	$226.75	$226.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.13 / $226.75 / $226.75	Professional		$179.13	$226.75	$226.75