Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $109.07 / $115.47	Facility		$109.07	$109.07	$115.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $84.22 / $140.97	Professional		$63.05	$84.22	$140.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $171.86	Facility		$99.06	$99.06	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $181.88 / $227.34	Professional		$99.06	$181.88	$227.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $164.59 / $178.36	Professional		$148.43	$164.59	$178.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $185.42 / $730.97	Facility		$98.15	$185.42	$730.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $80.86 / $213.02	Professional		$69.95	$80.86	$213.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.36 / $171.86 / $213.02	Facility		$171.36	$171.86	$213.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $200.76 / $328.42	Professional		$140.76	$200.76	$328.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $77.95 / $200.44	Professional		$69.34	$77.95	$200.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $153.12 / $153.12	Facility		$153.12	$153.12	$153.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $153.12 / $153.12	Professional		$120.96	$153.12	$153.12