Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.81 / $236.81 / $250.66	Facility		$236.81	$236.81	$250.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $182.86 / $306.05	Professional		$136.91	$182.86	$306.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $373.07	Facility		$227.96	$227.96	$373.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $395.25 / $494.06	Professional		$227.96	$395.25	$494.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.19 / $396.57 / $431.12	Professional		$322.19	$396.57	$431.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.05 / $402.58 / $1,593.03	Facility		$213.05	$402.58	$1,593.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $175.55 / $462.55	Professional		$151.90	$175.55	$462.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.97 / $373.07 / $462.55	Facility		$371.97	$373.07	$462.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.54 / $435.79 / $712.92	Professional		$305.54	$435.79	$712.92
United Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $169.20 / $399.12	Professional		$150.54	$169.20	$399.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $332.37 / $332.37	Facility		$332.37	$332.37	$332.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $332.37 / $332.37	Professional		$262.57	$332.37	$332.37