Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $197.30 / $208.37	Facility		$197.30	$197.30	$208.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $164.32 / $244.36	Professional		$113.35	$164.32	$244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $300.95	Facility		$170.96	$170.96	$300.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.55 / $329.25 / $411.56	Professional		$265.55	$329.25	$411.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $313.93 / $340.19	Professional		$259.92	$313.93	$340.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $351.57 / $1,435.50	Facility		$171.88	$351.57	$1,435.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $154.21 / $373.81	Professional		$130.79	$154.21	$373.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.08 / $300.95 / $415.64	Facility		$300.08	$300.95	$415.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.48 / $355.68 / $575.11	Professional		$246.48	$355.68	$575.11
United Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $136.49 / $321.95	Professional		$133.65	$136.49	$321.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $268.13 / $268.13 / $268.13	Facility		$268.13	$268.13	$268.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $268.13 / $268.13	Professional		$211.82	$268.13	$268.13