Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.27 / $209.27 / $307.35	Facility		$209.27	$209.27	$307.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $188.88 / $288.61	Professional		$120.72	$188.88	$288.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $372.96	Facility		$278.10	$278.10	$372.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $298.13 / $372.96	Professional		$278.10	$298.13	$372.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $396.24 / $429.39	Professional		$222.65	$396.24	$429.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.88 / $439.03 / $1,140.66	Facility		$188.88	$439.03	$1,140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $219.13 / $568.12	Professional		$186.23	$219.13	$568.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.96 / $402.55 / $508.51	Facility		$372.96	$402.55	$508.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $372.96 / $445.97 / $784.41	Professional		$372.96	$445.97	$784.41
United Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $207.44 / $356.11	Professional		$186.23	$207.44	$356.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $332.27 / $332.27 / $332.27	Facility		$332.27	$332.27	$332.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $332.27 / $332.27	Professional		$262.49	$332.27	$332.27