Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.91 / $343.84 / $343.84	Facility		$233.91	$343.84	$343.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $199.29 / $269.58	Professional		$128.26	$199.29	$269.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $343.75	Facility		$265.56	$265.56	$343.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.56 / $475.88 / $594.84	Professional		$265.56	$475.88	$594.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $410.50 / $441.32	Professional		$303.08	$410.50	$441.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $406.25 / $1,670.71	Facility		$199.29	$406.25	$1,670.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $204.80 / $426.97	Professional		$153.60	$204.80	$426.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.76 / $343.75 / $467.72	Facility		$342.76	$343.75	$467.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $406.25 / $656.89	Professional		$281.52	$406.25	$656.89
United Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $173.36 / $367.65	Professional		$153.60	$173.36	$367.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $306.25 / $306.25 / $306.25	Facility		$306.25	$306.25	$306.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $306.25 / $306.25	Professional		$241.94	$306.25	$306.25