Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $245.47	Facility		$208.93	$208.93	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $389.05	Professional		$173.78	$204.17	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $380.19	Facility		$218.78	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $489.78	Professional		$218.78	$389.05	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $389.05	Professional		$288.40	$354.81	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $1,737.80	Facility		$229.09	$436.52	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $562.34	Professional		$162.18	$213.80	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $512.86	Professional		$371.54	$389.05	$512.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $562.34	Professional		$389.05	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $549.54	Facility		$125.89	$223.87	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $169.82 / $309.03	Professional		$165.96	$169.82	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $331.13	Professional		$263.03	$331.13	$331.13