Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $256.77 / $323.63	Facility		$256.77	$256.77	$323.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $221.96 / $330.07	Professional		$152.09	$221.96	$330.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $437.70	Facility		$230.92	$230.92	$437.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.92 / $428.25 / $535.30	Professional		$230.92	$428.25	$535.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.07 / $465.27 / $582.70	Professional		$351.07	$465.27	$582.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.96 / $511.29 / $1,940.98	Facility		$249.96	$511.29	$1,940.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $211.15 / $537.74	Professional		$183.54	$211.15	$537.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $436.41 / $437.70 / $561.41	Facility		$436.41	$437.70	$561.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.00 / $511.29 / $836.43	Professional		$361.00	$511.29	$836.43
United Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $198.51 / $468.24	Professional		$182.72	$198.51	$468.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $378.01 / $378.01 / $378.01	Facility		$378.01	$378.01	$378.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $298.63 / $378.01 / $378.01	Professional		$298.63	$378.01	$378.01