Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.76 / $210.76 / $220.68	Facility		$210.76	$210.76	$220.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $182.18 / $275.73	Professional		$127.90	$182.18	$275.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $346.46	Facility		$196.21	$196.21	$346.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $351.75 / $439.69	Professional		$196.21	$351.75	$439.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $335.02 / $363.05	Professional		$288.16	$335.02	$363.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $403.24 / $1,587.88	Facility		$197.86	$403.24	$1,587.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $170.96 / $430.35	Professional		$149.97	$170.96	$430.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $346.46 / $460.80	Facility		$345.45	$346.46	$460.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.75 / $404.72 / $662.10	Professional		$283.75	$404.72	$662.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $157.13 / $370.60	Professional		$151.33	$157.13	$370.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $308.66 / $308.66 / $308.66	Facility		$308.66	$308.66	$308.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.84 / $308.66 / $308.66	Professional		$243.84	$308.66	$308.66