Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.06 / $248.06 / $365.00	Facility		$248.06	$248.06	$365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $227.29 / $345.48	Professional		$143.10	$227.29	$345.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $442.07	Facility		$301.51	$301.51	$442.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $360.93 / $451.16	Professional		$301.51	$360.93	$451.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $464.63 / $622.74	Professional		$263.95	$464.63	$622.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.90 / $520.40 / $1,352.24	Facility		$223.90	$520.40	$1,352.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $259.77 / $673.35	Professional		$220.78	$259.77	$673.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $442.07 / $477.16 / $602.76	Facility		$442.07	$477.16	$602.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $442.07 / $528.63 / $929.79	Professional		$442.07	$528.63	$929.79
United Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $245.87 / $422.07	Professional		$220.78	$245.87	$422.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $393.84 / $393.84 / $393.84	Facility		$393.84	$393.84	$393.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $393.84 / $393.84	Professional		$311.13	$393.84	$393.84