Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.33 / $206.33 / $218.44	Facility		$206.33	$206.33	$218.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $159.34 / $266.70	Professional		$119.30	$159.34	$266.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $325.08	Facility		$176.58	$176.58	$325.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.58 / $344.25 / $430.31	Professional		$176.58	$344.25	$430.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $295.52 / $308.27	Professional		$280.75	$295.52	$308.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.65 / $350.76 / $1,382.94	Facility		$185.65	$350.76	$1,382.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $152.35 / $403.78	Professional		$131.18	$152.35	$403.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $324.14 / $325.08 / $403.04	Facility		$324.14	$325.08	$403.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $379.74 / $621.24	Professional		$266.24	$379.74	$621.24
United Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $147.44 / $386.05	Professional		$131.18	$147.44	$386.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $280.75 / $280.75 / $280.75	Facility		$280.75	$280.75	$280.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $280.75 / $280.75	Professional		$221.79	$280.75	$280.75