Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $109.38 / $115.76	Facility		$109.38	$109.38	$115.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $84.46 / $141.40	Professional		$63.23	$84.46	$141.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $172.32	Facility		$88.85	$88.85	$172.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $182.63 / $228.28	Professional		$88.85	$182.63	$228.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $156.65 / $227.03	Professional		$146.44	$156.65	$227.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.41 / $201.29 / $734.34	Facility		$98.41	$201.29	$734.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $81.84 / $213.65	Professional		$70.16	$81.84	$213.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.81 / $172.32 / $213.65	Facility		$171.81	$172.32	$213.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $201.29 / $329.29	Professional		$141.13	$201.29	$329.29
United Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $78.15 / $184.33	Professional		$69.53	$78.15	$184.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $153.52 / $153.52 / $153.52	Facility		$153.52	$153.52	$153.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $153.52 / $153.52	Professional		$121.28	$153.52	$153.52