Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $363.08	Facility		$245.47	$245.47	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $354.81	Professional		$162.18	$251.19	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $446.68	Facility		$245.47	$245.47	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $575.44 / $724.44	Professional		$245.47	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $489.78	Professional		$363.08	$398.11	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $2,089.30	Facility		$269.15	$501.19	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $724.44	Professional		$186.21	$251.19	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $446.68 / $602.56	Professional		$436.52	$446.68	$602.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $660.69	Professional		$457.09	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $645.65	Facility		$147.91	$263.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $371.54	Professional		$186.21	$194.98	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $389.05	Professional		$302.00	$389.05	$389.05