Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.37 / $307.37 / $354.73	Facility		$307.37	$307.37	$354.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $265.69 / $395.10	Professional		$198.59	$265.69	$395.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $515.72	Facility		$345.03	$345.03	$515.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $513.00 / $641.25	Professional		$345.03	$513.00	$641.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.25 / $521.20 / $564.80	Professional		$420.25	$521.20	$564.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $589.64 / $2,336.91	Facility		$294.52	$589.64	$2,336.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $249.33 / $640.57	Professional		$218.72	$249.33	$640.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $514.22 / $515.72 / $672.03	Facility		$514.22	$515.72	$672.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $422.38 / $606.28 / $985.52	Professional		$422.38	$606.28	$985.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $233.90 / $601.47	Professional		$218.72	$233.90	$601.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $459.46 / $459.46 / $459.46	Facility		$459.46	$459.46	$459.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $459.46 / $459.46	Professional		$362.97	$459.46	$459.46