Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.81 / $312.42 / $312.42	Facility		$294.81	$312.42	$312.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $243.38 / $384.80	Professional		$166.77	$243.38	$384.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $484.40	Facility		$253.20	$253.20	$484.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $521.25 / $651.55	Professional		$253.20	$521.25	$651.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $477.50 / $517.45	Professional		$396.25	$477.50	$517.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.63 / $540.27 / $2,141.94	Facility		$276.63	$540.27	$2,141.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.16 / $233.64 / $601.66	Professional		$202.16	$233.64	$601.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $482.97 / $484.40 / $615.58	Facility		$482.97	$484.40	$615.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $565.84 / $925.67	Professional		$396.72	$565.84	$925.67
United Facility/Professional Professional Modifier Low / Median / High Price $200.35 / $219.69 / $518.10	Professional		$200.35	$219.69	$518.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $431.55 / $431.55 / $431.55	Facility		$431.55	$431.55	$431.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.92 / $431.55 / $431.55	Professional		$340.92	$431.55	$431.55