Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $346.74	Facility		$234.42	$245.47	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $269.15	Professional		$131.83	$199.53	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Facility		$263.03	$263.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $588.84	Professional		$263.03	$478.63	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $436.52	Professional		$295.12	$407.38	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $1,659.59	Facility		$213.80	$407.38	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $588.84	Professional		$154.88	$229.09	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $467.74	Professional		$338.84	$354.81	$467.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $524.81	Professional		$354.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $234.42 / $501.19	Facility		$151.36	$234.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $295.12	Professional		$154.88	$169.82	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $309.03	Professional		$239.88	$309.03	$309.03