Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.82 / $206.20 / $206.20	Facility		$162.82	$206.20	$206.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $134.41 / $238.60	Professional		$99.94	$134.41	$238.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $246.17	Facility		$169.96	$169.96	$246.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $285.38 / $356.72	Professional		$230.24	$285.38	$356.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $283.83 / $347.32	Professional		$217.05	$283.83	$347.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $295.02 / $1,197.00	Facility		$142.72	$295.02	$1,197.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $148.86 / $305.77	Professional		$110.65	$148.86	$305.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $245.45 / $246.17 / $339.98	Facility		$245.45	$246.17	$339.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $290.93 / $470.43	Professional		$201.61	$290.93	$470.43
United Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $115.37 / $263.29	Professional		$110.65	$115.37	$263.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $219.31 / $219.31 / $219.31	Facility		$219.31	$219.31	$219.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $219.31 / $219.31	Professional		$173.25	$219.31	$219.31