Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.96 / $294.75 / $294.75	Facility		$247.96	$294.75	$294.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $218.04 / $304.39	Professional		$141.21	$218.04	$304.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $446.45	Facility		$229.50	$229.50	$446.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $491.63 / $614.53	Professional		$229.50	$491.63	$614.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $330.69 / $424.21	Professional		$300.60	$330.69	$424.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.96 / $501.08 / $1,920.53	Facility		$254.96	$501.08	$1,920.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $202.48 / $551.47	Professional		$170.03	$202.48	$551.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $445.15 / $446.45 / $535.07	Facility		$445.15	$446.45	$535.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $517.74 / $853.16	Professional		$365.64	$517.74	$853.16
United Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $202.48 / $532.36	Professional		$168.51	$202.48	$532.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $385.57 / $385.57 / $385.57	Facility		$385.57	$385.57	$385.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $385.57 / $385.57	Professional		$304.60	$385.57	$385.57