Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $368.17 / $368.17	Facility		$278.77	$368.17	$368.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $230.12 / $404.96	Professional		$174.18	$230.12	$404.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $446.70	Facility		$305.27	$305.27	$446.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $509.63 / $637.03	Professional		$305.27	$509.63	$637.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.85 / $456.95 / $548.53	Professional		$393.85	$456.95	$548.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.97 / $527.91 / $2,036.64	Facility		$258.97	$527.91	$2,036.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $259.39 / $554.83	Professional		$194.14	$259.39	$554.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $445.38 / $446.70 / $582.07	Facility		$445.38	$446.70	$582.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $365.83 / $527.91 / $853.61	Professional		$365.83	$527.91	$853.61
United Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $209.34 / $477.78	Professional		$194.14	$209.34	$477.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $397.97 / $397.97 / $397.97	Facility		$397.97	$397.97	$397.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $397.97 / $397.97	Professional		$314.39	$397.97	$397.97