Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $133.52 / $186.42	Facility		$133.52	$133.52	$186.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $115.42 / $171.64	Professional		$83.34	$115.42	$171.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $214.81	Facility		$124.31	$124.31	$214.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.73 / $222.75 / $278.44	Professional		$179.73	$222.75	$278.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $192.17 / $202.29	Professional		$182.56	$192.17	$202.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.67 / $250.92 / $1,000.92	Facility		$122.67	$250.92	$1,000.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $108.32 / $266.81	Professional		$93.35	$108.32	$266.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $214.81 / $291.95	Facility		$214.18	$214.81	$291.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $250.92 / $410.48	Professional		$194.00	$250.92	$410.48
United Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $97.42 / $249.82	Professional		$93.35	$97.42	$249.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $191.37 / $191.37 / $191.37	Facility		$191.37	$191.37	$191.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $191.37 / $191.37	Professional		$151.18	$191.37	$191.37