Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $200.77 / $256.77	Facility		$200.77	$200.77	$256.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $158.97 / $236.42	Professional		$108.94	$158.97	$236.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $320.02	Facility		$165.40	$165.40	$320.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $334.88 / $418.59	Professional		$165.40	$334.88	$418.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $311.51 / $337.57	Professional		$258.98	$311.51	$337.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.77 / $373.84 / $1,428.20	Facility		$182.77	$373.84	$1,428.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $152.63 / $397.52	Professional		$132.05	$152.63	$397.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.08 / $320.02 / $402.11	Facility		$319.08	$320.02	$402.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $373.84 / $611.60	Professional		$282.00	$373.84	$611.60
United Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $145.15 / $342.40	Professional		$130.88	$145.15	$342.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $285.12 / $285.12 / $285.12	Facility		$285.12	$285.12	$285.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $285.12 / $285.12	Professional		$225.24	$285.12	$285.12