Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $316.23 / $398.11	Facility		$295.12	$316.23	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $416.87	Professional		$194.98	$239.88	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $457.09	Facility		$281.84	$281.84	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $691.83	Professional		$281.84	$549.54	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $575.44	Professional		$398.11	$478.63	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $2,137.96	Facility		$275.42	$524.81	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $691.83	Professional		$199.53	$288.40	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $616.60	Professional		$446.68	$467.74	$616.60
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 $467.74 / $676.08 / $676.08	Professional		$467.74	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $660.69	Facility		$199.53	$309.03	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $389.05	Professional		$199.53	$218.78	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $398.11	Professional		$316.23	$398.11	$398.11