Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.49 / $122.49 / $171.02	Facility		$122.49	$122.49	$171.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $105.89 / $157.46	Professional		$73.04	$105.89	$157.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $217.32	Facility		$110.16	$110.16	$217.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $204.38 / $255.47	Professional		$110.16	$204.38	$255.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $192.18 / $207.64	Professional		$167.48	$192.18	$207.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $253.85 / $918.20	Facility		$124.11	$253.85	$918.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $101.85 / $259.14	Professional		$87.95	$101.85	$259.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.67 / $217.32 / $267.81	Facility		$216.67	$217.32	$267.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $253.85 / $415.27	Professional		$184.00	$253.85	$415.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $98.56 / $229.18	Professional		$87.17	$98.56	$229.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $193.61 / $193.61 / $193.61	Facility		$193.61	$193.61	$193.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $193.61 / $193.61	Professional		$152.94	$193.61	$193.61