Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $126.86 / $126.86	Facility		$111.38	$126.86	$126.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $81.23 / $127.97	Professional		$63.42	$81.23	$127.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $165.74	Facility		$98.15	$98.15	$165.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $175.50 / $219.38	Professional		$98.15	$175.50	$219.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $150.66 / $153.22	Professional		$132.69	$150.66	$153.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $195.87 / $705.18	Facility		$77.98	$195.87	$705.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $96.57 / $205.50	Professional		$72.03	$96.57	$205.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $165.74 / $205.50	Facility		$165.25	$165.74	$205.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $193.60 / $316.72	Professional		$135.74	$193.60	$316.72
United Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $79.95 / $196.90	Professional		$72.03	$79.95	$196.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $147.66 / $147.66 / $147.66	Facility		$147.66	$147.66	$147.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $147.66 / $147.66	Professional		$116.65	$147.66	$147.66