Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.48 / $335.48 / $403.99	Facility		$335.48	$335.48	$403.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $308.04 / $442.92	Professional		$200.30	$308.04	$442.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.49 / $338.00 / $338.00	Facility		$300.49	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $618.75 / $773.44	Professional		$46.37	$618.75	$773.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $150.00 / $560.30	Professional		$51.88	$150.00	$560.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $570.32 / $1,637.27	Facility		$64.43	$570.32	$1,637.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.42 / $238.24 / $535.13	Professional		$181.42	$238.24	$535.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.15 / $65.26 / $154.26	Facility		$61.15	$65.26	$154.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $76.40 / $154.26	Professional		$60.97	$76.40	$154.26
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $209.38 / $497.53	Professional		$181.67	$209.38	$497.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $533.97 / $533.97 / $533.97	Facility		$533.97	$533.97	$533.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $421.84 / $533.97 / $533.97	Professional		$421.84	$533.97	$533.97