Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.34 / $266.56 / $266.56	Facility		$209.34	$266.56	$266.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $197.18 / $275.77	Professional		$118.42	$197.18	$275.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $398.77	Facility		$225.30	$225.30	$398.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $444.75 / $555.94	Professional		$225.30	$444.75	$555.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $423.87 / $467.92	Professional		$308.76	$423.87	$467.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.73 / $437.10 / $1,533.12	Facility		$227.73	$437.10	$1,533.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $180.86 / $495.31	Professional		$143.54	$180.86	$495.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.61 / $398.77 / $477.93	Facility		$397.61	$398.77	$477.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.22 / $437.10 / $762.05	Professional		$321.22	$437.10	$762.05
United Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $460.37 / $748.10	Facility		$460.37	$460.37	$748.10
United Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $180.86 / $426.57	Professional		$142.27	$180.86	$426.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $355.27 / $355.27 / $355.27	Facility		$355.27	$355.27	$355.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $355.27 / $355.27	Professional		$280.66	$355.27	$355.27