Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $389.17 / $2,219.71	Facility		$218.06	$389.17	$2,219.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $167.91 / $167.91	Professional		$143.91	$167.91	$167.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $396.25 / $495.31	Professional		$250.69	$396.25	$495.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $327.08 / $800.77	Professional		$185.35	$327.08	$800.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $281.39 / $837.13	Facility		$218.06	$281.39	$837.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $501.54	Professional		$130.84	$130.84	$501.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $381.61 / $837.13	Facility		$261.89	$381.61	$837.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $381.61 / $477.90	Professional		$261.67	$381.61	$477.90
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $501.54	Professional		$130.84	$130.84	$501.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $218.06 / $218.06	Professional		$172.27	$218.06	$218.06