Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $261.98 / $261.98	Facility		$258.58	$261.98	$261.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $213.46 / $317.43	Professional		$149.86	$213.46	$317.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $391.88	Facility		$243.89	$243.89	$391.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.60 / $437.25 / $546.55	Professional		$352.60	$437.25	$546.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $367.51 / $389.44	Professional		$320.48	$367.51	$389.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.79 / $445.37 / $1,827.68	Facility		$223.79	$445.37	$1,827.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $200.32 / $486.73	Professional		$170.31	$200.32	$486.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $390.73 / $391.88 / $539.92	Facility		$390.73	$391.88	$539.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $457.76 / $748.85	Professional		$320.95	$457.76	$748.85
United Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $177.73 / $467.27	Professional		$170.31	$177.73	$467.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $349.13 / $349.13 / $349.13	Facility		$349.13	$349.13	$349.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $349.13 / $349.13	Professional		$275.81	$349.13	$349.13