Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $150.22 / $150.22	Facility		$135.56	$150.22	$150.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $96.01 / $157.38	Professional		$71.38	$96.01	$157.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $224.87	Facility		$113.25	$113.25	$224.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $207.75 / $259.69	Professional		$113.25	$207.75	$259.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $180.55 / $204.43	Professional		$159.32	$180.55	$204.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $255.77 / $862.15	Facility		$130.37	$255.77	$862.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $116.10 / $267.92	Professional		$94.30	$116.10	$267.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.22 / $224.87 / $269.51	Facility		$224.22	$224.87	$269.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $242.83 / $429.72	Professional		$181.14	$242.83	$429.72
United Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $105.38 / $240.63	Professional		$90.01	$105.38	$240.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $200.34 / $200.34	Facility		$200.34	$200.34	$200.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $200.34 / $200.34	Professional		$158.27	$200.34	$200.34