Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $471.86 / $858.83	Facility		$392.09	$471.86	$858.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $393.46 / $550.00	Professional		$392.09	$393.46	$550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.08 / $401.08 / $401.08	Facility		$401.08	$401.08	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $405.87 / $502.31	Professional		$401.85	$405.87	$502.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $392.09 / $498.44	Professional		$349.96	$392.09	$498.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $474.32 / $1,973.75	Facility		$393.87	$474.32	$1,973.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $393.87 / $500.21	Professional		$157.55	$393.87	$500.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $636.37 / $928.86	Facility		$188.00	$636.37	$928.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $245.00 / $559.01	Professional		$176.79	$245.00	$559.01
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $448.27	Professional		$156.84	$392.09	$448.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $393.87 / $393.87	Facility		$393.87	$393.87	$393.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.51 / $393.87 / $431.03	Professional		$340.51	$393.87	$431.03