Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.79 / $272.79 / $315.94	Facility		$272.79	$272.79	$315.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $195.61 / $273.77	Professional		$135.68	$195.61	$273.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $358.26	Facility		$203.51	$203.51	$358.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $377.63 / $472.03	Professional		$203.51	$377.63	$472.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.87 / $353.88 / $424.80	Professional		$315.87	$353.88	$424.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.69 / $429.58 / $1,717.84	Facility		$207.69	$429.58	$1,717.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $216.64 / $444.98	Professional		$161.03	$216.64	$444.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $358.26 / $494.78	Facility		$357.20	$358.26	$494.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $324.38 / $423.40 / $684.60	Professional		$324.38	$423.40	$684.60
United Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $162.47 / $383.16	Professional		$161.03	$162.47	$383.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $319.18 / $319.18 / $319.18	Facility		$319.18	$319.18	$319.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $319.18 / $319.18	Professional		$252.15	$319.18	$319.18