Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.02 / $223.17 / $223.17	Facility		$148.02	$223.17	$223.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $130.10 / $186.93	Professional		$88.93	$130.10	$186.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $244.27	Facility		$172.35	$172.35	$244.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $309.00 / $386.25	Professional		$172.35	$309.00	$386.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.47 / $266.44 / $333.71	Professional		$213.47	$266.44	$333.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $288.68 / $1,046.34	Facility		$141.61	$288.68	$1,046.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $139.26 / $303.38	Professional		$106.15	$139.26	$303.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $243.56 / $244.27 / $303.56	Facility		$243.56	$244.27	$303.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $285.33 / $466.77	Professional		$200.04	$285.33	$466.77
United Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $131.74 / $150.19	Facility		$82.34	$131.74	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $118.58 / $261.22	Professional		$106.15	$118.58	$261.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $217.62 / $217.62 / $217.62	Facility		$217.62	$217.62	$217.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $217.62 / $217.62	Professional		$171.92	$217.62	$217.62