Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.26 / $387.24 / $387.24	Facility		$252.26	$387.24	$387.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $221.12 / $303.61	Professional		$144.44	$221.12	$303.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $381.41	Facility		$232.98	$232.98	$381.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.98 / $535.88 / $669.84	Professional		$232.98	$535.88	$669.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $462.31 / $551.69	Professional		$336.30	$462.31	$551.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.12 / $457.35 / $1,951.09	Facility		$221.12	$457.35	$1,951.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $230.64 / $473.73	Professional		$171.44	$230.64	$473.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $381.41 / $386.78 / $526.74	Facility		$381.41	$386.78	$526.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $312.37 / $450.76 / $728.86	Professional		$312.37	$450.76	$728.86
United Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $172.98 / $454.42	Professional		$171.44	$172.98	$454.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $339.81 / $339.81 / $339.81	Facility		$339.81	$339.81	$339.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $339.81 / $339.81	Professional		$268.45	$339.81	$339.81