Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $163.06 / $163.06	Facility		$143.44	$163.06	$163.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $104.47 / $164.52	Professional		$81.53	$104.47	$164.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $213.08	Facility		$67.73	$67.73	$213.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $225.75 / $282.19	Professional		$67.73	$225.75	$282.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $226.52 / $309.16	Professional		$184.95	$226.52	$309.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.53 / $251.82 / $836.27	Facility		$123.53	$251.82	$836.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $121.22 / $264.67	Professional		$92.60	$121.22	$264.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.46 / $213.08 / $264.26	Facility		$212.46	$213.08	$264.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $248.91 / $407.19	Professional		$174.53	$248.91	$407.19
United Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $96.64 / $227.94	Professional		$92.33	$96.64	$227.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Facility		$193.71	$193.71	$193.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $193.71 / $193.71	Professional		$153.03	$193.71	$193.71