Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.75 / $238.75 / $252.74	Facility		$238.75	$238.75	$252.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $184.78 / $308.55	Professional		$138.02	$184.78	$308.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $376.08	Facility		$192.25	$192.25	$376.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $398.25 / $497.81	Professional		$192.25	$398.25	$497.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $341.89 / $345.47	Professional		$319.26	$341.89	$345.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.78 / $393.71 / $1,603.51	Facility		$214.78	$393.71	$1,603.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $176.25 / $467.11	Professional		$153.49	$176.25	$467.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $374.99 / $376.08 / $467.39	Facility		$374.99	$376.08	$467.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $442.66 / $718.67	Professional		$308.02	$442.66	$718.67
United Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $170.56 / $446.68	Professional		$152.12	$170.56	$446.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $335.05 / $335.05 / $335.05	Facility		$335.05	$335.05	$335.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.69 / $335.05 / $335.05	Professional		$264.69	$335.05	$335.05