Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.84 / $193.84 / $270.62	Facility		$193.84	$193.84	$270.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $167.55 / $249.17	Professional		$114.81	$167.55	$249.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $306.87	Facility		$174.32	$174.32	$306.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $323.25 / $404.06	Professional		$174.32	$323.25	$404.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $320.89 / $346.72	Professional		$265.02	$320.89	$346.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $358.47 / $1,530.87	Facility		$175.25	$358.47	$1,530.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $157.24 / $381.16	Professional		$133.37	$157.24	$381.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.97 / $306.87 / $423.80	Facility		$305.97	$306.87	$423.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $362.66 / $586.41	Professional		$277.85	$362.66	$586.41
United Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $139.18 / $362.66	Professional		$133.37	$139.18	$362.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $273.39 / $273.39 / $273.39	Facility		$273.39	$273.39	$273.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $273.39 / $273.39	Professional		$215.98	$273.39	$273.39