Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $331.13	Professional		$151.36	$204.17	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $489.78	Facility		$245.47	$245.47	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $549.54	Professional		$245.47	$436.52	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $38.02	Professional		$35.48	$38.02	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $588.84 / $1,737.80	Facility		$56.23	$588.84	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $501.19	Professional		$177.83	$223.87	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,148.15	Professional		$478.63	$562.34	$1,148.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $162.18 / $288.40	Facility		$19.95	$162.18	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $537.03	Professional		$194.98	$213.80	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $398.11	Professional		$309.03	$398.11	$398.11