Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.59 / $337.86 / $337.86	Facility		$245.59	$337.86	$337.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $202.74 / $314.58	Professional		$149.66	$202.74	$314.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $392.70	Facility		$271.68	$271.68	$392.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $467.63 / $584.53	Professional		$271.68	$467.63	$584.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $403.36 / $453.12	Professional		$346.23	$403.36	$453.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $464.10 / $1,747.51	Facility		$227.67	$464.10	$1,747.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $228.04 / $487.77	Professional		$170.67	$228.04	$487.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.55 / $392.70 / $512.79	Facility		$391.55	$392.70	$512.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $458.73 / $750.44	Professional		$321.61	$458.73	$750.44
United Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $202.74 / $420.03	Professional		$170.67	$202.74	$420.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $349.86 / $349.86	Facility		$349.86	$349.86	$349.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $349.86 / $349.86	Professional		$276.39	$349.86	$349.86