Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $302.00	Facility		$263.03	$275.42	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $302.00	Professional		$151.36	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $398.11	Facility		$229.09	$229.09	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $524.81	Professional		$229.09	$416.87	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $457.09	Professional		$338.84	$380.19	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $1,659.59	Facility		$245.47	$457.09	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $602.56	Professional		$169.82	$239.88	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $489.78	Professional		$389.05	$407.38	$489.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $602.56	Professional		$363.08	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $524.81	Facility		$158.49	$263.03	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $323.59	Professional		$165.96	$181.97	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $346.74	Professional		$275.42	$346.74	$346.74