Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $371.54	Facility		$275.42	$316.23	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $407.38	Professional		$173.78	$218.78	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Facility		$302.00	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $630.96	Professional		$302.00	$512.86	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $549.54	Professional		$371.54	$457.09	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $2,041.74	Facility		$275.42	$524.81	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $676.08	Professional		$194.98	$288.40	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $575.44	Professional		$446.68	$467.74	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $676.08	Professional		$436.52	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $630.96	Facility		$190.55	$295.12	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $371.54	Professional		$190.55	$213.80	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $398.11	Professional		$316.23	$398.11	$398.11