Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.06 / $263.06 / $275.45	Facility		$263.06	$263.06	$275.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $227.38 / $338.14	Professional		$155.81	$227.38	$338.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $416.45	Facility		$236.57	$236.57	$416.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $438.75 / $548.44	Professional		$236.57	$438.75	$548.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $458.55 / $495.45	Professional		$359.66	$458.55	$495.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.83 / $486.47 / $2,077.64	Facility		$237.83	$486.47	$2,077.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $213.39 / $517.28	Professional		$181.00	$213.39	$517.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.24 / $416.45 / $575.14	Facility		$415.24	$416.45	$575.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $341.08 / $486.47 / $795.85	Professional		$341.08	$486.47	$795.85
United Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $188.88 / $492.17	Professional		$184.94	$188.88	$492.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $371.02 / $371.02 / $371.02	Facility		$371.02	$371.02	$371.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $293.11 / $371.02 / $371.02	Professional		$293.11	$371.02	$371.02