Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $223.87	Facility		$147.91	$173.78	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Professional		$87.10	$125.89	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Facility		$173.78	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $389.05	Professional		$173.78	$309.03	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $331.13	Professional		$213.80	$275.42	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $1,047.13	Facility		$151.36	$288.40	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $380.19	Professional		$104.71	$151.36	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $302.00	Professional		$245.47	$251.19	$302.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $371.54	Professional		$229.09	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $323.59	Facility		$83.18	$154.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $223.87	Professional		$102.33	$114.82	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $218.78	Professional		$173.78	$218.78	$218.78