Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $267.50 / $267.50	Facility		$198.56	$267.50	$267.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $163.92 / $250.78	Professional		$119.31	$163.92	$250.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $301.48	Facility		$170.54	$170.54	$301.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $370.13 / $462.66	Professional		$170.54	$370.13	$462.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $320.45 / $445.35	Professional		$265.80	$320.45	$445.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.78 / $361.33 / $1,456.51	Facility		$174.78	$361.33	$1,456.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $181.54 / $374.45	Professional		$135.51	$181.54	$374.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $301.48 / $414.62	Facility		$300.60	$301.48	$414.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $356.29 / $576.11	Professional		$246.90	$356.29	$576.11
United Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $138.13 / $322.41	Professional		$135.51	$138.13	$322.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $268.58 / $268.58 / $268.58	Facility		$268.58	$268.58	$268.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.19 / $268.58 / $268.58	Professional		$212.19	$268.58	$268.58