Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.43 / $355.47 / $355.47	Facility		$301.43	$355.47	$355.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $248.84 / $364.11	Professional		$173.22	$248.84	$364.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $542.19	Facility		$274.52	$274.52	$542.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $492.00 / $615.00	Professional		$274.52	$492.00	$615.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $471.72 / $524.14	Professional		$415.83	$471.72	$524.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.33 / $633.35 / $2,227.59	Facility		$314.33	$633.35	$2,227.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $288.74 / $645.99	Professional		$233.29	$288.74	$645.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $540.61 / $542.19 / $649.82	Facility		$540.61	$542.19	$649.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $629.40 / $1,036.10	Professional		$436.76	$629.40	$1,036.10
United Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $248.43 / $580.02	Professional		$233.29	$248.43	$580.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $483.04 / $483.04 / $483.04	Facility		$483.04	$483.04	$483.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $483.04 / $483.04	Professional		$381.60	$483.04	$483.04