Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.85 / $284.85 / $313.88	Facility		$284.85	$284.85	$313.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $203.26 / $288.99	Professional		$133.16	$203.26	$288.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $355.93	Facility		$268.08	$268.08	$355.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $475.13 / $593.91	Professional		$268.08	$475.13	$593.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.97 / $361.59 / $409.96	Professional		$307.97	$361.59	$409.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.26 / $420.64 / $1,700.62	Facility		$203.26	$420.64	$1,700.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $182.37 / $442.09	Professional		$154.69	$182.37	$442.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.88 / $355.93 / $491.55	Facility		$354.88	$355.93	$491.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $415.76 / $680.16	Professional		$316.00	$415.76	$680.16
United Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $161.41 / $415.10	Professional		$159.97	$161.41	$415.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $317.10 / $317.10 / $317.10	Facility		$317.10	$317.10	$317.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.51 / $317.10 / $317.10	Professional		$250.51	$317.10	$317.10