Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.90 / $208.79 / $208.79	Facility		$180.90	$208.79	$208.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $126.97 / $185.34	Professional		$88.07	$126.97	$185.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $261.22	Facility		$166.47	$166.47	$261.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $289.13 / $361.41	Professional		$166.47	$289.13	$361.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $249.27 / $287.16	Professional		$211.88	$249.27	$287.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.43 / $308.70 / $1,123.06	Facility		$151.43	$308.70	$1,123.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $147.32 / $324.45	Professional		$113.53	$147.32	$324.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $260.44 / $261.22 / $321.16	Facility		$260.44	$261.22	$321.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $305.13 / $499.18	Professional		$213.92	$305.13	$499.18
United Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $125.45 / $311.22	Professional		$113.53	$125.45	$311.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $232.72 / $232.72	Facility		$232.72	$232.72	$232.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.85 / $232.72 / $232.72	Professional		$183.85	$232.72	$232.72