Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.98 / $262.98 / $278.35	Facility		$262.98	$262.98	$278.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $203.29 / $343.22	Professional		$152.03	$203.29	$343.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $414.30	Facility		$211.27	$211.27	$414.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $438.75 / $548.44	Professional		$211.27	$438.75	$548.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.25 / $359.24 / $378.49	Professional		$299.25	$359.24	$378.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.60 / $447.07 / $1,762.49	Facility		$236.60	$447.07	$1,762.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $194.95 / $513.65	Professional		$168.68	$194.95	$513.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $413.10 / $414.30 / $513.65	Facility		$413.10	$414.30	$513.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.31 / $483.96 / $791.74	Professional		$339.31	$483.96	$791.74
United Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $187.90 / $492.04	Professional		$167.17	$187.90	$492.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $357.81 / $357.81 / $357.81	Facility		$357.81	$357.81	$357.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.67 / $357.81 / $357.81	Professional		$282.67	$357.81	$357.81