Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $143.11	Facility		$135.19	$135.19	$143.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $104.41 / $174.74	Professional		$78.17	$104.41	$174.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $213.00	Facility		$129.63	$129.63	$213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $225.75 / $282.19	Professional		$181.99	$225.75	$282.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $198.12 / $295.23	Professional		$166.29	$198.12	$295.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.64 / $229.84 / $906.14	Facility		$121.64	$229.84	$906.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $100.23 / $264.08	Professional		$86.72	$100.23	$264.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.38 / $213.00 / $264.08	Facility		$212.38	$213.00	$264.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $248.82 / $407.05	Professional		$174.46	$248.82	$407.05
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $96.61 / $230.49	Professional		$92.57	$96.61	$230.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Facility		$183.96	$183.96	$183.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $183.96 / $183.96	Professional		$145.33	$183.96	$183.96