Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.47 / $340.47 / $354.17	Facility		$340.47	$340.47	$354.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $219.28 / $319.69	Professional		$152.09	$219.28	$319.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $431.79	Facility		$274.64	$274.64	$431.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $471.38 / $589.22	Professional		$274.64	$471.38	$589.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.10 / $441.09 / $540.48	Professional		$365.10	$441.09	$540.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.33 / $510.30 / $1,955.07	Facility		$250.33	$510.30	$1,955.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $250.78 / $536.34	Professional		$187.67	$250.78	$536.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.53 / $431.79 / $554.65	Facility		$430.53	$431.79	$554.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $390.97 / $507.64 / $825.18	Professional		$390.97	$507.64	$825.18
United Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $216.66 / $514.47	Professional		$187.12	$216.66	$514.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $384.69 / $384.69 / $384.69	Facility		$384.69	$384.69	$384.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $303.91 / $384.69 / $384.69	Professional		$303.91	$384.69	$384.69