Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.70 / $207.65 / $207.65	Facility		$192.70	$207.65	$207.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $142.54 / $232.26	Professional		$115.10	$142.54	$232.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $289.74	Facility		$195.78	$195.78	$289.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $289.74 / $359.06	Professional		$231.88	$289.74	$359.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $307.98 / $505.04	Professional		$247.92	$307.98	$505.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.98 / $338.46 / $1,140.98	Facility		$167.98	$338.46	$1,140.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $165.40 / $359.88	Professional		$125.92	$165.40	$359.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $289.74 / $360.54	Facility		$288.89	$289.74	$360.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $338.46 / $553.67	Professional		$237.30	$338.46	$553.67
United Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $139.78 / $322.30	Professional		$125.55	$139.78	$322.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $237.06 / $237.06 / $237.06	Facility		$237.06	$237.06	$237.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $237.06 / $237.06	Professional		$187.28	$237.06	$237.06