Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.16 / $396.44 / $396.44	Facility		$291.16	$396.44	$396.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $239.07 / $348.55	Professional		$165.82	$239.07	$348.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $468.03	Facility		$306.16	$306.16	$468.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $548.63 / $685.78	Professional		$306.16	$548.63	$685.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.31 / $473.30 / $510.79	Professional		$402.31	$473.30	$510.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $553.12 / $2,089.06	Facility		$271.33	$553.12	$2,089.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.41 / $271.77 / $581.33	Professional		$203.41	$271.77	$581.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $466.66 / $468.03 / $604.69	Facility		$466.66	$468.03	$604.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.29 / $546.72 / $894.39	Professional		$383.29	$546.72	$894.39
United Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $236.21 / $557.63	Professional		$202.80	$236.21	$557.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $416.97 / $416.97 / $416.97	Facility		$416.97	$416.97	$416.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $416.97 / $416.97	Professional		$329.41	$416.97	$416.97