Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $204.82 / $285.95	Facility		$204.82	$204.82	$285.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $177.05 / $263.27	Professional		$121.32	$177.05	$263.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $324.26	Facility		$190.69	$190.69	$324.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $341.63 / $427.03	Professional		$190.69	$341.63	$427.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.04 / $338.27 / $365.49	Professional		$280.04	$338.27	$365.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $378.78 / $1,539.25	Facility		$185.18	$378.78	$1,539.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $166.15 / $402.76	Professional		$140.93	$166.15	$402.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $324.26 / $447.83	Facility		$323.32	$324.26	$447.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $378.78 / $619.66	Professional		$288.00	$378.78	$619.66
United Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $147.07 / $378.18	Professional		$140.93	$147.07	$378.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $288.88 / $288.88 / $288.88	Facility		$288.88	$288.88	$288.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $288.88 / $288.88	Professional		$228.22	$288.88	$288.88