Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.01 / $272.01 / $347.31	Facility		$272.01	$272.01	$347.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $215.03 / $319.77	Professional		$147.35	$215.03	$319.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $405.58	Facility		$227.07	$227.07	$405.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $453.75 / $567.19	Professional		$227.07	$453.75	$567.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $431.15 / $548.04	Professional		$349.96	$431.15	$548.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.63 / $473.78 / $1,873.73	Facility		$231.63	$473.78	$1,873.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $201.80 / $503.77	Professional		$176.27	$201.80	$503.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $404.40 / $405.58 / $543.90	Facility		$404.40	$405.58	$543.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $473.78 / $775.07	Professional		$360.00	$473.78	$775.07
United Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $183.95 / $433.91	Professional		$175.75	$183.95	$433.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $350.27 / $350.27 / $350.27	Facility		$350.27	$350.27	$350.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $350.27 / $350.27	Professional		$276.70	$350.27	$350.27