Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $201.95 / $201.95	Facility		$158.69	$201.95	$201.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $122.61 / $201.95	Professional		$85.04	$122.61	$201.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $299.41	Facility		$170.15	$170.15	$299.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $279.38 / $349.22	Professional		$170.15	$279.38	$349.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $286.01 / $350.46	Professional		$229.05	$286.01	$350.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $326.63 / $1,135.98	Facility		$173.58	$326.63	$1,135.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $152.77 / $356.73	Professional		$121.15	$152.77	$356.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.54 / $299.41 / $358.86	Facility		$298.54	$299.41	$358.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $322.44 / $572.15	Professional		$234.34	$322.44	$572.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $135.79 / $313.44	Professional		$117.71	$135.79	$313.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $266.75 / $266.75 / $266.75	Facility		$266.75	$266.75	$266.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.73 / $266.75 / $266.75	Professional		$210.73	$266.75	$266.75