Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $163.94 / $173.13	Facility		$163.94	$163.94	$173.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $117.56 / $168.96	Professional		$83.73	$117.56	$168.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $215.30	Facility		$122.31	$122.31	$215.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $226.88 / $283.58	Professional		$122.31	$226.88	$283.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $214.87 / $257.93	Professional		$189.84	$214.87	$257.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.82 / $258.18 / $1,037.98	Facility		$124.82	$258.18	$1,037.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $130.19 / $267.43	Professional		$96.78	$130.19	$267.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.30 / $297.35	Facility		$215.00	$215.30	$297.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $254.45 / $411.45	Professional		$194.95	$254.45	$411.45
United Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $111.17 / $254.45	Professional		$96.78	$111.17	$254.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $191.82 / $191.82 / $191.82	Facility		$191.82	$191.82	$191.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $191.82 / $191.82	Professional		$151.54	$191.82	$191.82