Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.29 / $299.29 / $306.58	Facility		$299.29	$299.29	$306.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $247.18 / $376.06	Professional		$169.37	$247.18	$376.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $471.65	Facility		$261.02	$264.44	$471.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.44 / $499.50 / $624.38	Professional		$264.44	$499.50	$624.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.59 / $444.88 / $490.86	Professional		$402.59	$444.88	$490.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.35 / $547.82 / $2,238.26	Facility		$269.35	$547.82	$2,238.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $231.96 / $585.83	Professional		$203.49	$231.96	$585.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.27 / $471.65 / $625.21	Facility		$470.27	$471.65	$625.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.29 / $550.95 / $901.32	Professional		$386.29	$550.95	$901.32
United Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $213.91 / $408.11	Professional		$203.49	$213.91	$408.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $407.33 / $407.33 / $407.33	Facility		$407.33	$407.33	$407.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $321.79 / $407.33 / $407.33	Professional		$321.79	$407.33	$407.33