Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.85 / $145.85 / $154.41	Facility		$145.85	$145.85	$154.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $112.64 / $188.52	Professional		$84.35	$112.64	$188.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $229.83	Facility		$149.11	$149.11	$229.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $243.38 / $304.22	Professional		$149.11	$243.38	$304.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $244.32 / $268.89	Professional		$179.41	$244.32	$268.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $247.95 / $977.65	Facility		$131.25	$247.95	$977.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $108.14 / $284.94	Professional		$93.57	$108.14	$284.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $229.83 / $284.94	Facility		$229.16	$229.83	$284.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $268.47 / $439.18	Professional		$188.23	$268.47	$439.18
United Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $104.23 / $274.04	Professional		$92.74	$104.23	$274.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $198.49 / $198.49 / $198.49	Facility		$198.49	$198.49	$198.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $198.49 / $198.49	Professional		$156.81	$198.49	$198.49