Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.26 / $206.17 / $206.17	Facility		$192.26	$206.17	$206.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $134.46 / $202.67	Professional		$96.42	$134.46	$202.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $268.75	Facility		$159.22	$159.22	$268.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $285.38 / $356.72	Professional		$159.22	$285.38	$356.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.45 / $263.86 / $323.32	Professional		$231.45	$263.86	$323.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.80 / $317.62 / $1,155.73	Facility		$155.80	$317.62	$1,155.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $156.03 / $333.80	Professional		$116.80	$156.03	$333.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $268.75 / $340.11	Facility		$267.95	$268.75	$340.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.25 / $313.93 / $513.57	Professional		$225.25	$313.93	$513.57
United Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $132.86 / $287.49	Professional		$112.70	$132.86	$287.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $239.43 / $239.43	Facility		$239.43	$239.43	$239.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $239.43 / $239.43	Professional		$189.15	$239.43	$239.43