Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.40 / $356.40 / $682.31	Facility		$356.40	$356.40	$682.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $356.40 / $645.04	Professional		$308.68	$356.40	$645.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.51 / $314.51 / $314.51	Facility		$314.51	$314.51	$314.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $299.48 / $374.34	Professional		$299.48	$299.48	$374.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $308.68 / $558.71	Professional		$213.04	$308.68	$558.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $352.71 / $382.10	Facility		$306.79	$352.71	$382.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $306.80 / $382.10	Professional		$306.80	$306.80	$382.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $335.07 / $440.88 / $690.71	Facility		$335.07	$440.88	$690.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $352.72 / $615.61	Professional		$284.20	$352.72	$615.61
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $317.94	Professional		$308.68	$308.68	$317.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $306.80 / $306.80	Facility		$306.80	$306.80	$306.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $306.80 / $306.80	Professional		$306.80	$306.80	$306.80