Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $263.03	Facility		$223.87	$223.87	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Professional		$151.36	$204.17	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Facility		$245.47	$245.47	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $549.54	Professional		$245.47	$436.52	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $398.11	Professional		$302.00	$371.54	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $1,819.70	Facility		$245.47	$446.68	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $602.56	Professional		$169.82	$229.09	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $537.03	Professional		$389.05	$407.38	$537.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $602.56	Professional		$407.38	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $575.44	Facility		$138.04	$234.42	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $323.59	Professional		$169.82	$177.83	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $346.74	Professional		$275.42	$346.74	$346.74