Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $166.10 / $175.81	Facility		$166.10	$166.10	$175.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $128.40 / $216.76	Professional		$96.02	$128.40	$216.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $261.67	Facility		$152.55	$152.55	$261.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $277.13 / $346.41	Professional		$152.55	$277.13	$346.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $239.05 / $362.13	Professional		$209.91	$239.05	$362.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.43 / $305.64 / $1,113.14	Facility		$149.43	$305.64	$1,113.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $126.72 / $324.99	Professional		$106.53	$126.72	$324.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $261.67 / $324.39	Facility		$260.89	$261.67	$324.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $305.64 / $500.02	Professional		$214.31	$305.64	$500.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $118.67 / $310.77	Professional		$105.58	$118.67	$310.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $225.99 / $225.99	Facility		$225.99	$225.99	$225.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $225.99 / $225.99	Professional		$178.53	$225.99	$225.99