Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.01 / $220.01 / $232.89	Facility		$220.01	$220.01	$232.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $170.07 / $287.12	Professional		$127.18	$170.07	$287.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $346.63	Facility		$176.75	$176.75	$346.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $367.13 / $458.91	Professional		$176.75	$367.13	$458.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $322.07 / $349.01	Professional		$299.36	$322.07	$349.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $374.02 / $1,474.48	Facility		$197.95	$374.02	$1,474.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $162.44 / $430.53	Professional		$139.86	$162.44	$430.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $345.61 / $346.63 / $429.70	Facility		$345.61	$346.63	$429.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $404.91 / $662.38	Professional		$283.87	$404.91	$662.38
United Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $157.21 / $411.63	Professional		$139.86	$157.21	$411.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $299.36 / $299.36 / $299.36	Facility		$299.36	$299.36	$299.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.49 / $299.36 / $299.36	Professional		$236.49	$299.36	$299.36