Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.49 / $216.63 / $216.63	Facility		$170.49	$216.63	$216.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $128.01 / $201.41	Professional		$95.82	$128.01	$201.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $251.74	Facility		$175.58	$175.58	$251.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $300.00 / $375.00	Professional		$175.58	$300.00	$375.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.97 / $258.63 / $298.54	Professional		$221.97	$258.63	$298.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $297.51 / $1,083.05	Facility		$145.94	$297.51	$1,083.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $145.31 / $312.70	Professional		$109.41	$145.31	$312.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.74 / $316.75	Facility		$251.00	$251.74	$316.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $294.07 / $481.08	Professional		$206.18	$294.07	$481.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $123.74 / $299.95	Professional		$109.41	$123.74	$299.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $224.27 / $224.27 / $224.27	Facility		$224.27	$224.27	$224.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $224.27 / $224.27	Professional		$177.17	$224.27	$224.27