Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.50 / $166.82 / $166.82	Facility		$146.50	$166.82	$166.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $106.86 / $168.35	Professional		$83.43	$106.86	$168.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $218.06	Facility		$120.62	$120.62	$218.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $231.00 / $288.75	Professional		$120.62	$231.00	$288.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $198.62 / $206.50	Professional		$172.02	$198.62	$206.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $257.70 / $927.48	Facility		$98.02	$257.70	$927.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $127.02 / $270.29	Professional		$94.77	$127.02	$270.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.42 / $218.06 / $270.29	Facility		$217.42	$218.06	$270.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $254.72 / $416.72	Professional		$178.58	$254.72	$416.72
United Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $117.30 / $233.31	Professional		$94.49	$117.30	$233.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $194.28 / $194.28 / $194.28	Facility		$194.28	$194.28	$194.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $194.28 / $194.28	Professional		$153.47	$194.28	$194.28