Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $467.74 / $676.08	Facility		$190.55	$467.74	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $295.12	Professional		$162.18	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $707.95	Facility		$660.69	$691.83	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $588.84	Professional		$354.81	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $446.68	Professional		$151.36	$309.03	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $660.69	Facility		$245.47	$295.12	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $562.34	Professional		$147.91	$147.91	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $549.54	Facility		$245.47	$245.47	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $537.03	Professional		$147.91	$147.91	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $245.47	Professional		$194.98	$245.47	$245.47