Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $310.98 / $310.98	Facility		$214.56	$310.98	$310.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $181.29 / $243.83	Professional		$116.00	$181.29	$243.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $318.11	Facility		$177.64	$177.64	$318.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $430.50 / $538.13	Professional		$177.64	$430.50	$538.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $371.28 / $401.20	Professional		$278.45	$371.28	$401.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $375.95 / $1,523.57	Facility		$184.42	$375.95	$1,523.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $185.23 / $395.11	Professional		$138.91	$185.23	$395.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $318.11 / $423.01	Facility		$317.18	$318.11	$423.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $371.59 / $607.90	Professional		$260.52	$371.59	$607.90
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $153.46 / $340.32	Professional		$138.91	$153.46	$340.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $283.41	Facility		$283.41	$283.41	$283.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $283.41 / $283.41	Professional		$223.89	$283.41	$283.41