Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $182.38 / $182.38	Facility		$176.61	$182.38	$182.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $130.78 / $183.03	Professional		$90.71	$130.78	$183.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $239.51	Facility		$140.85	$140.85	$239.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.62 / $252.38 / $315.47	Professional		$203.62	$252.38	$315.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.18 / $236.90 / $284.38	Professional		$211.18	$236.90	$284.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.86 / $287.22 / $1,167.33	Facility		$138.86	$287.22	$1,167.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $144.84 / $297.50	Professional		$107.66	$144.84	$297.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $238.83 / $239.51 / $330.78	Facility		$238.83	$239.51	$330.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.92 / $279.79 / $457.70	Professional		$206.92	$279.79	$457.70
United Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $122.60 / $256.12	Professional		$107.66	$122.60	$256.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $213.39 / $213.39 / $213.39	Facility		$213.39	$213.39	$213.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $213.39 / $213.39	Professional		$168.58	$213.39	$213.39