Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.40 / $267.92 / $267.92	Facility		$210.40	$267.92	$267.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $192.75 / $260.83	Professional		$130.11	$192.75	$260.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $424.16	Facility		$180.71	$180.71	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $447.00 / $558.75	Professional		$180.71	$447.00	$558.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $380.38 / $399.61	Professional		$289.20	$380.38	$399.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.23 / $443.96 / $1,641.93	Facility		$242.23	$443.96	$1,641.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $192.37 / $505.78	Professional		$144.28	$192.37	$505.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $422.92 / $424.16 / $508.36	Facility		$422.92	$424.16	$508.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $456.78 / $810.57	Professional		$331.98	$456.78	$810.57
United Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $192.37 / $456.74	Professional		$162.84	$192.37	$456.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $377.89 / $377.89	Facility		$377.89	$377.89	$377.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $377.89 / $377.89	Professional		$298.52	$377.89	$377.89