Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.96 / $198.24 / $198.24	Facility		$140.96	$198.24	$198.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $115.65 / $182.78	Professional		$80.20	$115.65	$182.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $257.61	Facility		$126.98	$126.98	$257.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.35 / $274.50 / $343.13	Professional		$221.35	$274.50	$343.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.18 / $236.68 / $274.94	Professional		$201.18	$236.68	$274.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.34 / $300.92 / $1,050.89	Facility		$149.34	$300.92	$1,050.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $137.47 / $319.95	Professional		$108.42	$137.47	$319.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $257.61 / $308.75	Facility		$256.83	$257.61	$308.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $292.51 / $492.27	Professional		$210.97	$292.51	$492.27
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $120.73 / $306.92	Professional		$108.42	$120.73	$306.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $229.51 / $229.51 / $229.51	Facility		$229.51	$229.51	$229.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $229.51 / $229.51	Professional		$181.31	$229.51	$229.51