Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.14 / $233.14 / $263.36	Facility		$233.14	$233.14	$263.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $185.87 / $279.12	Professional		$127.37	$185.87	$279.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $360.33	Facility		$216.42	$216.42	$360.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $388.88 / $486.09	Professional		$216.42	$388.88	$486.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $383.06 / $428.81	Professional		$303.05	$383.06	$428.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.77 / $420.67 / $1,611.98	Facility		$205.77	$420.67	$1,611.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $180.13 / $447.56	Professional		$153.02	$180.13	$447.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $359.27 / $360.33 / $470.15	Facility		$359.27	$360.33	$470.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.56 / $420.90 / $688.59	Professional		$308.56	$420.90	$688.59
United Facility/Professional Facility Modifier Low / Median / High Price $127.52 / $153.02 / $183.65	Facility		$127.52	$153.02	$183.65
United Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $163.41 / $385.39	Professional		$153.02	$163.41	$385.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $321.02 / $321.02 / $321.02	Facility		$321.02	$321.02	$321.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $321.02 / $321.02	Professional		$253.61	$321.02	$321.02