Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $234.43 / $245.47	Facility		$234.43	$234.43	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $211.95 / $401.80	Professional		$167.33	$211.95	$401.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $371.14	Facility		$218.27	$218.27	$371.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $391.13 / $488.91	Professional		$218.27	$391.13	$488.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $350.27 / $385.33	Professional		$320.52	$350.27	$385.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.95 / $433.54 / $1,743.72	Facility		$211.95	$433.54	$1,743.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $190.17 / $460.98	Professional		$161.30	$190.17	$460.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $376.36 / $512.55	Facility		$371.14	$376.36	$512.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $303.97 / $438.62 / $709.25	Professional		$303.97	$438.62	$709.25
United Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $173.93 / $397.04	Professional		$161.30	$173.93	$397.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $330.65 / $330.65 / $330.65	Facility		$330.65	$330.65	$330.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $330.65 / $330.65	Professional		$261.20	$330.65	$330.65