Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.77 / $299.75 / $299.75	Facility		$242.77	$299.75	$299.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $200.42 / $292.19	Professional		$139.01	$200.42	$292.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $373.67	Facility		$209.59	$209.59	$373.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $414.75 / $518.44	Professional		$209.59	$414.75	$518.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.48 / $370.75 / $509.35	Professional		$329.48	$370.75	$509.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $443.22 / $1,729.07	Facility		$216.63	$443.22	$1,729.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $221.96 / $464.14	Professional		$166.47	$221.96	$464.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $372.57 / $373.67 / $506.92	Facility		$372.57	$373.67	$506.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.05 / $438.92 / $714.09	Professional		$306.05	$438.92	$714.09
United Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $219.98 / $250.82	Facility		$137.49	$219.98	$250.82
United Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $192.40 / $399.70	Professional		$166.47	$192.40	$399.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $332.91 / $332.91 / $332.91	Facility		$332.91	$332.91	$332.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $332.91 / $332.91	Professional		$263.00	$332.91	$332.91