Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.13 / $340.44 / $340.44	Facility		$256.13	$340.44	$340.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $201.93 / $340.44	Professional		$151.57	$201.93	$340.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $379.57	Facility		$244.07	$244.07	$379.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $471.38 / $589.22	Professional		$244.07	$471.38	$589.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $400.58 / $422.44	Professional		$334.68	$400.58	$422.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.05 / $448.58 / $1,746.86	Facility		$220.05	$448.58	$1,746.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $223.63 / $471.45	Professional		$167.72	$223.63	$471.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $378.45 / $379.57 / $510.73	Facility		$378.45	$379.57	$510.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.88 / $443.38 / $725.33	Professional		$310.88	$443.38	$725.33
United Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $537.91 / $874.11	Facility		$537.91	$537.91	$874.11
United Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $193.85 / $452.23	Professional		$167.72	$193.85	$452.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $338.16 / $338.16	Facility		$338.16	$338.16	$338.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $338.16 / $338.16	Professional		$267.14	$338.16	$338.16