Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $234.42	Facility		$151.36	$151.36	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $426.58	Professional		$141.25	$173.78	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $724.44	Facility		$691.83	$707.95	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $512.86	Professional		$407.38	$416.87	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $831.76	Professional		$151.36	$251.19	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $1,071.52	Facility		$316.23	$489.78	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $588.84	Professional		$194.98	$331.13	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $575.44	Professional		$331.13	$416.87	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $436.52	Professional		$398.11	$398.11	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $524.81	Professional		$181.97	$234.42	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $338.84	Professional		$229.09	$288.40	$338.84