Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.57 / $198.04 / $198.04	Facility		$161.57	$198.04	$198.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $133.38 / $194.45	Professional		$92.51	$133.38	$194.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $260.76	Facility		$138.76	$138.76	$260.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $274.13 / $342.66	Professional		$138.76	$274.13	$342.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.07 / $237.05 / $290.27	Professional		$222.07	$237.05	$290.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $308.17 / $1,184.51	Facility		$151.16	$308.17	$1,184.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $151.41 / $323.87	Professional		$113.32	$151.41	$323.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $259.98 / $260.76 / $337.36	Facility		$259.98	$260.76	$337.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $304.58 / $498.28	Professional		$213.55	$304.58	$498.28
United Facility/Professional Facility Modifier Low / Median / High Price $355.31 / $355.31 / $577.38	Facility		$355.31	$355.31	$577.38
United Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $125.79 / $310.67	Professional		$113.32	$125.79	$310.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $232.31 / $232.31 / $232.31	Facility		$232.31	$232.31	$232.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $232.31 / $232.31	Professional		$183.52	$232.31	$232.31