Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.33 / $234.27 / $234.27	Facility		$206.33	$234.27	$234.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $167.98 / $237.75	Professional		$116.52	$167.98	$237.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $335.08	Facility		$174.77	$174.77	$335.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $324.38 / $405.47	Professional		$174.77	$324.38	$405.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $320.67 / $392.94	Professional		$279.69	$320.67	$392.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.26 / $396.01 / $1,528.02	Facility		$194.26	$396.01	$1,528.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $194.58 / $406.98	Professional		$145.63	$194.58	$406.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.10 / $335.08 / $424.88	Facility		$334.10	$335.08	$424.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $391.42 / $640.32	Professional		$274.43	$391.42	$640.32
United Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $161.27 / $363.60	Professional		$145.63	$161.27	$363.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $298.52 / $298.52	Facility		$298.52	$298.52	$298.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $298.52 / $298.52	Professional		$235.84	$298.52	$298.52