Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.30 / $181.05 / $181.05	Facility		$159.30	$181.05	$181.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $116.01 / $182.68	Professional		$90.53	$116.01	$182.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $236.64	Facility		$171.65	$171.65	$236.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $250.50 / $313.13	Professional		$171.65	$250.50	$313.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $291.56 / $349.99	Professional		$205.35	$291.56	$349.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $283.77 / $1,006.76	Facility		$141.47	$283.77	$1,006.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $137.40 / $293.94	Professional		$102.53	$137.40	$293.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.64 / $236.64 / $293.42	Facility		$236.64	$236.64	$293.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $277.89 / $452.22	Professional		$193.79	$277.89	$452.22
United Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $111.37 / $281.01	Professional		$99.22	$111.37	$281.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $215.13 / $215.13 / $215.13	Facility		$215.13	$215.13	$215.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $215.13 / $215.13	Professional		$169.95	$215.13	$215.13