Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $236.07 / $236.07	Facility		$161.74	$236.07	$236.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $137.62 / $194.65	Professional		$92.61	$137.62	$194.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $244.53	Facility		$182.31	$182.31	$244.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $326.63 / $408.28	Professional		$182.31	$326.63	$408.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $281.83 / $324.20	Professional		$215.60	$281.83	$324.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $288.99 / $1,170.00	Facility		$141.77	$288.99	$1,170.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $147.87 / $303.73	Professional		$109.91	$147.87	$303.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $244.53 / $337.70	Facility		$243.82	$244.53	$337.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $285.64 / $467.30	Professional		$200.27	$285.64	$467.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $131.91 / $291.33	Professional		$109.91	$131.91	$291.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $217.85 / $217.85 / $217.85	Facility		$217.85	$217.85	$217.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $217.85 / $217.85	Professional		$172.10	$217.85	$217.85