Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.52 / $319.48 / $319.48	Facility		$277.52	$319.48	$319.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $229.09 / $320.63	Professional		$158.90	$229.09	$320.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $419.57	Facility		$248.05	$248.05	$419.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.05 / $442.13 / $552.66	Professional		$248.05	$442.13	$552.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $414.82 / $549.86	Professional		$369.94	$414.82	$549.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.24 / $503.11 / $2,003.74	Facility		$243.24	$503.11	$2,003.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $253.73 / $521.16	Professional		$188.60	$253.73	$521.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $418.35 / $419.57 / $579.45	Facility		$418.35	$419.57	$579.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $490.12 / $801.81	Professional		$343.63	$490.12	$801.81
United Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $222.67 / $448.84	Professional		$188.60	$222.67	$448.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $373.80 / $373.80 / $373.80	Facility		$373.80	$373.80	$373.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.30 / $373.80 / $373.80	Professional		$295.30	$373.80	$373.80