Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.93 / $285.54 / $285.54	Facility		$249.93	$285.54	$285.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $184.07 / $288.11	Professional		$142.78	$184.07	$288.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $372.78	Facility		$220.51	$220.51	$372.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $395.25 / $494.06	Professional		$220.51	$395.25	$494.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $340.91 / $387.51	Professional		$321.95	$340.91	$387.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.12 / $440.56 / $1,599.48	Facility		$216.12	$440.56	$1,599.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $213.58 / $463.02	Professional		$162.01	$213.58	$463.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $371.70 / $372.78 / $465.59	Facility		$371.70	$372.78	$465.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.30 / $435.46 / $712.37	Professional		$305.30	$435.46	$712.37
United Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $179.83 / $398.68	Professional		$162.01	$179.83	$398.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $332.11 / $332.11 / $332.11	Facility		$332.11	$332.11	$332.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $332.11 / $332.11	Professional		$262.37	$332.11	$332.11