Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $416.87	Facility		$338.84	$338.84	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $363.08	Professional		$186.21	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $489.78	Facility		$281.84	$281.84	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $630.96	Professional		$281.84	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $562.34	Professional		$371.54	$512.86	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $2,290.87	Facility		$295.12	$562.34	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $724.44	Professional		$213.80	$323.59	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $660.69	Professional		$478.63	$501.19	$660.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $724.44	Professional		$501.19	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $707.95	Facility		$181.97	$331.13	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $398.11	Professional		$213.80	$229.09	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $426.58	Professional		$338.84	$426.58	$426.58