Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.75 / $223.76 / $223.76	Facility		$211.75	$223.76	$223.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $174.80 / $261.61	Professional		$131.78	$174.80	$261.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $382.59	Facility		$181.86	$181.86	$382.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $373.50 / $466.88	Professional		$181.86	$373.50	$466.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $322.04 / $347.81	Professional		$292.89	$322.04	$347.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $400.48 / $1,549.83	Facility		$218.49	$400.48	$1,549.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $173.51 / $456.20	Professional		$145.19	$173.51	$456.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $381.47 / $382.59 / $458.54	Facility		$381.47	$382.59	$458.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $313.33 / $442.15 / $731.11	Professional		$313.33	$442.15	$731.11
United Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $143.90 / $189.98	Facility		$119.92	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $143.90 / $173.51 / $409.29	Professional		$143.90	$173.51	$409.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $340.85 / $340.85 / $340.85	Facility		$340.85	$340.85	$340.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $340.85 / $340.85	Professional		$269.27	$340.85	$340.85