Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.29 / $220.29 / $230.67	Facility		$220.29	$220.29	$230.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $190.42 / $305.07	Professional		$130.47	$190.42	$305.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $396.59	Facility		$205.09	$205.09	$396.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.09 / $367.50 / $459.38	Professional		$205.09	$367.50	$459.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $421.59 / $732.28	Professional		$301.20	$421.59	$732.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.49 / $422.27 / $1,717.61	Facility		$226.49	$422.27	$1,717.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $185.86 / $472.90	Professional		$158.16	$185.86	$472.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.43 / $396.59 / $481.66	Facility		$395.43	$396.59	$481.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.82 / $463.28 / $757.88	Professional		$324.82	$463.28	$757.88
United Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $179.87 / $424.18	Professional		$156.76	$179.87	$424.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $342.51 / $342.51 / $342.51	Facility		$342.51	$342.51	$342.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.58 / $342.51 / $342.51	Professional		$270.58	$342.51	$342.51