Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.88 / $291.47 / $291.47	Facility		$189.88	$291.47	$291.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $169.92 / $250.25	Professional		$108.72	$169.92	$250.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $352.68	Facility		$225.10	$225.10	$352.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $403.50 / $504.38	Professional		$225.10	$403.50	$504.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $374.94 / $787.30	Professional		$295.77	$374.94	$787.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.47 / $411.99 / $1,446.87	Facility		$204.47	$411.99	$1,446.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $186.33 / $438.08	Professional		$147.90	$186.33	$438.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $351.67 / $352.68 / $422.70	Facility		$351.67	$352.68	$422.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.86 / $399.02 / $673.98	Professional		$288.86	$399.02	$673.98
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $129.04 / $196.18	Facility		$0.21	$129.04	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $170.14 / $420.21	Professional		$146.96	$170.14	$420.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $314.20 / $314.20 / $314.20	Facility		$314.20	$314.20	$314.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.23 / $314.20 / $314.20	Professional		$248.23	$314.20	$314.20