Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.15 / $134.15 / $142.03	Facility		$134.15	$134.15	$142.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $103.59 / $173.38	Professional		$77.55	$103.59	$173.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $211.37	Facility		$107.78	$107.78	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $223.88 / $279.83	Professional		$107.78	$223.88	$279.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $174.69 / $193.08	Professional		$161.19	$174.69	$193.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $246.90 / $899.12	Facility		$110.35	$246.90	$899.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $99.06 / $262.04	Professional		$85.28	$99.06	$262.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.75 / $211.37 / $262.04	Facility		$210.75	$211.37	$262.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $246.90 / $403.90	Professional		$173.11	$246.90	$403.90
United Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $85.28 / $102.36	Facility		$71.06	$85.28	$102.36
United Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $95.86 / $251.00	Professional		$84.89	$95.86	$251.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $182.54 / $182.54	Facility		$182.54	$182.54	$182.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $182.54 / $182.54	Professional		$144.21	$182.54	$182.54