Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.41 / $299.95 / $299.95	Facility		$263.41	$299.95	$299.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $192.14 / $302.70	Professional		$150.01	$192.14	$302.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $391.93	Facility		$231.66	$231.66	$391.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $415.13 / $518.91	Professional		$231.66	$415.13	$518.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.20 / $374.60 / $459.02	Professional		$340.20	$374.60	$459.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $463.19 / $1,667.62	Facility		$227.22	$463.19	$1,667.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $222.95 / $486.81	Professional		$170.34	$222.95	$486.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $390.78 / $391.93 / $486.01	Facility		$390.78	$391.93	$486.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $321.01 / $457.83 / $748.98	Professional		$321.01	$457.83	$748.98
United Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $179.59 / $419.28	Professional		$170.34	$179.59	$419.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $349.17 / $349.17 / $349.17	Facility		$349.17	$349.17	$349.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $349.17 / $349.17	Professional		$275.83	$349.17	$349.17