Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.24 / $260.24 / $296.67	Facility		$260.24	$260.24	$296.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $183.68 / $260.24	Professional		$127.40	$183.68	$260.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $340.54	Facility		$197.02	$197.02	$340.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.02 / $360.38 / $450.47	Professional		$197.02	$360.38	$450.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.17 / $313.93 / $384.68	Professional		$295.17	$313.93	$384.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.42 / $407.06 / $1,592.80	Facility		$197.42	$407.06	$1,592.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $203.42 / $422.99	Professional		$152.57	$203.42	$422.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.54 / $340.54 / $464.60	Facility		$339.54	$340.54	$464.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $397.79 / $650.77	Professional		$302.00	$397.79	$650.77
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $172.20 / $405.75	Professional		$152.57	$172.20	$405.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $303.39 / $303.39	Facility		$303.39	$303.39	$303.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $303.39 / $303.39	Professional		$239.68	$303.39	$303.39