Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $229.35 / $229.35	Facility		$163.80	$229.35	$229.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $135.22 / $197.14	Professional		$93.79	$135.22	$197.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $249.22	Facility		$194.51	$194.51	$249.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $317.63 / $397.03	Professional		$194.51	$317.63	$397.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.72 / $259.56 / $274.94	Professional		$219.72	$259.56	$274.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $294.52 / $1,187.13	Facility		$144.47	$294.52	$1,187.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $149.76 / $309.52	Professional		$112.01	$149.76	$309.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.48 / $249.22 / $342.02	Facility		$248.48	$249.22	$342.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.10 / $294.52 / $476.23	Professional		$204.10	$294.52	$476.23
United Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $129.81 / $296.91	Professional		$112.01	$129.81	$296.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $222.03 / $222.03 / $222.03	Facility		$222.03	$222.03	$222.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $222.03 / $222.03	Professional		$175.40	$222.03	$222.03