Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $298.42 / $315.89	Facility		$298.42	$298.42	$315.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $230.44 / $385.69	Professional		$172.52	$230.44	$385.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $470.16	Facility		$252.01	$252.01	$470.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.01 / $498.00 / $622.50	Professional		$252.01	$498.00	$622.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $427.42 / $448.47	Professional		$406.05	$427.42	$448.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.50 / $507.31 / $2,000.04	Facility		$268.50	$507.31	$2,000.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $221.22 / $582.88	Professional		$191.41	$221.22	$582.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $468.78 / $470.16 / $582.88	Facility		$468.78	$470.16	$582.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.06 / $549.21 / $898.47	Professional		$385.06	$549.21	$898.47
United Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $213.23 / $558.35	Professional		$189.71	$213.23	$558.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $418.87 / $418.87 / $418.87	Facility		$418.87	$418.87	$418.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $330.91 / $418.87 / $418.87	Professional		$330.91	$418.87	$418.87