Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $147.91	Facility		$120.23	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $144.54	Professional		$67.61	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $213.80	Facility		$100.00	$100.00	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $229.09	Professional		$100.00	$186.21	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $239.88	Professional		$158.49	$199.53	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $229.09 / $831.76	Facility		$131.83	$229.09	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $323.59	Professional		$89.13	$123.03	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $251.19	Professional		$208.93	$218.78	$251.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $323.59	Professional		$181.97	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $263.03	Facility		$79.43	$123.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $165.96	Professional		$79.43	$95.50	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $186.21	Professional		$147.91	$186.21	$186.21