Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.63 / $279.63 / $344.77	Facility		$279.63	$279.63	$344.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $240.43 / $357.53	Professional		$177.54	$240.43	$357.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $518.78	Facility		$252.60	$252.60	$518.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.39 / $470.49 / $583.13	Professional		$376.39	$470.49	$583.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.33 / $441.57 / $471.62	Professional		$382.33	$441.57	$471.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $550.72 / $2,114.14	Facility		$296.27	$550.72	$2,114.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $237.56 / $618.62	Professional		$199.71	$237.56	$618.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $517.27 / $518.78 / $621.77	Facility		$517.27	$518.78	$621.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $417.90 / $606.02 / $991.40	Professional		$417.90	$606.02	$991.40
United Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $235.29 / $554.95	Professional		$197.93	$235.29	$554.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $462.19 / $462.19 / $462.19	Facility		$462.19	$462.19	$462.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $365.13 / $462.19 / $462.19	Professional		$365.13	$462.19	$462.19