Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $316.23	Facility		$208.93	$208.93	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $323.59	Professional		$131.83	$194.98	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $426.58	Professional		$309.03	$338.84	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $501.19	Professional		$251.19	$467.74	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $478.63 / $1,258.93	Facility		$218.78	$478.63	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $741.31	Professional		$208.93	$295.12	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $912.01	Professional		$407.38	$436.52	$912.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $630.96	Facility		$165.96	$295.12	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $380.19	Professional		$208.93	$218.78	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $363.08	Professional		$281.84	$363.08	$363.08