Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.99 / $305.99 / $324.49	Facility		$305.99	$305.99	$324.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $219.42 / $334.41	Professional		$165.72	$219.42	$334.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $441.02	Facility		$228.28	$228.28	$441.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.28 / $423.38 / $529.22	Professional		$228.28	$423.38	$529.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.32 / $409.21 / $501.42	Professional		$365.32	$409.21	$501.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.68 / $520.17 / $1,903.31	Facility		$255.68	$520.17	$1,903.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $254.59 / $542.09	Professional		$191.67	$254.59	$542.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $441.02 / $554.98	Facility		$439.73	$441.02	$554.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.17 / $515.16 / $842.77	Professional		$380.17	$515.16	$842.77
United Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $200.02 / $471.67	Professional		$198.23	$200.02	$471.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $392.91 / $392.91 / $392.91	Facility		$392.91	$392.91	$392.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $392.91 / $392.91	Professional		$310.39	$392.91	$392.91