Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $316.23 / $316.23	Facility		$281.84	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $363.08	Professional		$169.82	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $575.44	Facility		$251.19	$251.19	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $588.84	Professional		$251.19	$467.74	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $512.86	Professional		$389.05	$446.68	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $2,137.96	Facility		$346.74	$575.44	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $851.14	Professional		$199.53	$302.00	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $660.69	Professional		$562.34	$575.44	$660.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $851.14	Professional		$457.09	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $331.13 / $660.69	Facility		$154.88	$331.13	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $446.68	Professional		$199.53	$251.19	$446.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Professional		$398.11	$501.19	$501.19