Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.18 / $360.98 / $360.98	Facility		$347.18	$360.98	$360.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $214.95 / $313.39	Professional		$149.09	$214.95	$313.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $407.03	Facility		$297.81	$297.81	$407.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $499.50 / $624.38	Professional		$297.81	$499.50	$624.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.05 / $389.90 / $430.98	Professional		$344.05	$389.90	$430.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.97 / $481.04 / $1,867.83	Facility		$235.97	$481.04	$1,867.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $238.06 / $505.56	Professional		$178.55	$238.06	$505.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $405.84 / $407.03 / $543.70	Facility		$405.84	$407.03	$543.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $481.04 / $777.83	Professional		$368.54	$481.04	$777.83
United Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $184.60 / $474.08	Professional		$178.55	$184.60	$474.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $362.63 / $362.63	Facility		$362.63	$362.63	$362.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $286.48 / $362.63 / $362.63	Professional		$286.48	$362.63	$362.63