Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $403.69 / $403.69	Facility		$318.45	$403.69	$403.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $262.08 / $382.09	Professional		$181.77	$262.08	$382.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $480.00	Facility		$311.77	$311.77	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $558.75 / $698.44	Professional		$311.77	$558.75	$698.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.21 / $492.09 / $602.98	Professional		$423.21	$492.09	$602.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $575.55 / $2,310.33	Facility		$278.27	$575.55	$2,310.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $290.26 / $596.19	Professional		$215.75	$290.26	$596.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.58 / $480.00 / $662.90	Facility		$478.58	$480.00	$662.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $567.27 / $917.24	Professional		$393.12	$567.27	$917.24
United Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $247.83 / $571.88	Professional		$215.75	$247.83	$571.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $427.63 / $427.63 / $427.63	Facility		$427.63	$427.63	$427.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $337.83 / $427.63 / $427.63	Professional		$337.83	$427.63	$427.63