Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $114.82	Facility		$97.72	$104.71	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $120.23	Professional		$57.54	$85.11	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Facility		$112.20	$112.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $239.88	Professional		$112.20	$194.98	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $165.96	Professional		$134.90	$151.36	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $707.95	Facility		$114.82	$190.55	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $281.84	Professional		$72.44	$102.33	$281.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $218.78	Professional		$181.97	$190.55	$218.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $281.84	Professional		$154.88	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $218.78	Facility		$51.29	$89.13	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $151.36	Professional		$67.61	$83.18	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $162.18	Professional		$128.82	$162.18	$162.18