Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.46 / $206.46 / $213.85	Facility		$206.46	$206.46	$213.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $156.66 / $246.23	Professional		$114.22	$156.66	$246.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $302.20	Facility		$190.78	$190.78	$302.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $344.63 / $430.78	Professional		$190.78	$344.63	$430.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $292.99 / $310.48	Professional		$254.86	$292.99	$310.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.58 / $350.98 / $1,353.88	Facility		$172.58	$350.98	$1,353.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $147.02 / $375.36	Professional		$128.97	$147.02	$375.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $302.20 / $396.26	Facility		$301.32	$302.20	$396.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $357.15 / $577.49	Professional		$250.54	$357.15	$577.49
United Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $137.06 / $323.30	Professional		$128.97	$137.06	$323.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $269.24 / $269.24 / $269.24	Facility		$269.24	$269.24	$269.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $269.24 / $269.24	Professional		$212.70	$269.24	$269.24