Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $389.05	Facility		$309.03	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $371.54	Professional		$165.96	$204.17	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $549.54	Facility		$239.88	$239.88	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $549.54	Professional		$239.88	$426.58	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $489.78	Professional		$371.54	$457.09	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,995.26	Facility		$338.84	$562.34	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $831.76	Professional		$229.09	$281.84	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $645.65	Professional		$537.03	$562.34	$645.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $831.76	Professional		$426.58	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $602.56	Facility		$181.97	$281.84	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $426.58	Professional		$186.21	$245.47	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $489.78	Professional		$380.19	$489.78	$489.78