Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.62 / $317.62 / $319.95	Facility		$317.62	$317.62	$319.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $252.80 / $413.54	Professional		$174.85	$252.80	$413.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $483.63	Facility		$295.70	$295.70	$483.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $529.88 / $662.34	Professional		$295.70	$529.88	$662.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.68 / $463.01 / $500.61	Professional		$417.68	$463.01	$500.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $539.95 / $2,182.33	Facility		$276.20	$539.95	$2,182.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $237.23 / $600.72	Professional		$208.12	$237.23	$600.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $482.22 / $483.63 / $639.42	Facility		$482.22	$483.63	$639.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.11 / $571.55 / $924.23	Professional		$396.11	$571.55	$924.23
United Facility/Professional Facility Modifier Low / Median / High Price $173.43 / $208.12 / $249.78	Facility		$173.43	$208.12	$249.78
United Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $219.35 / $380.10	Professional		$209.57	$219.35	$380.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $430.87 / $430.87 / $430.87	Facility		$430.87	$430.87	$430.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.39 / $430.87 / $430.87	Professional		$340.39	$430.87	$430.87