Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.58 / $318.58 / $383.69	Facility		$318.58	$318.58	$383.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $288.86 / $439.96	Professional		$183.84	$288.86	$439.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.11 / $238.11 / $238.11	Facility		$238.11	$238.11	$238.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $596.25 / $745.31	Professional		$44.14	$596.25	$745.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $76.79 / $87.24	Professional		$50.57	$76.79	$87.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $190.67 / $691.07	Facility		$61.41	$190.67	$691.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $76.31 / $401.10	Professional		$26.31	$76.31	$401.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $63.80 / $150.80	Facility		$63.80	$63.80	$150.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $78.69 / $150.80	Professional		$63.32	$78.69	$150.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $65.38 / $401.10	Professional		$26.31	$65.38	$401.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $522.00 / $522.00	Facility		$522.00	$522.00	$522.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $412.38 / $522.00 / $522.00	Professional		$412.38	$522.00	$522.00