Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $288.89 / $288.89	Facility		$188.20	$288.89	$288.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $164.96 / $226.51	Professional		$107.76	$164.96	$226.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $284.55	Facility		$161.63	$161.63	$284.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $399.75 / $499.69	Professional		$161.63	$399.75	$499.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $278.50 / $344.90	Professional		$245.75	$278.50	$344.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $341.19 / $1,316.67	Facility		$164.96	$341.19	$1,316.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $172.06 / $353.42	Professional		$127.90	$172.06	$353.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $283.70 / $284.55 / $392.97	Facility		$283.70	$284.55	$392.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $332.38 / $543.76	Professional		$233.04	$332.38	$543.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $127.90 / $194.44	Facility		$0.21	$127.90	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $146.91 / $339.01	Professional		$127.90	$146.91	$339.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $253.51 / $253.51 / $253.51	Facility		$253.51	$253.51	$253.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $253.51 / $253.51	Professional		$200.27	$253.51	$253.51