Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $235.33 / $235.33	Facility		$195.39	$235.33	$235.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $173.45 / $234.71	Professional		$107.82	$173.45	$234.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $375.36	Facility		$159.91	$159.91	$375.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.75 / $392.63 / $490.78	Professional		$316.75	$392.63	$490.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $338.69 / $346.81	Professional		$270.95	$338.69	$346.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.37 / $392.89 / $1,399.37	Facility		$214.37	$392.89	$1,399.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $170.24 / $447.60	Professional		$127.68	$170.24	$447.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $374.27 / $375.36 / $449.87	Facility		$374.27	$375.36	$449.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $404.23 / $717.33	Professional		$293.77	$404.23	$717.33
United Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $170.24 / $437.78	Professional		$126.54	$170.24	$437.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $334.42	Facility		$334.42	$334.42	$334.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.19 / $334.42 / $334.42	Professional		$264.19	$334.42	$334.42