Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $353.67 / $353.67	Facility		$322.95	$353.67	$353.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $234.34 / $366.79	Professional		$181.77	$234.34	$366.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $446.83	Facility		$273.14	$273.14	$446.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $489.38 / $611.72	Professional		$273.14	$489.38	$611.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.14 / $515.09 / $618.32	Professional		$401.14	$515.09	$618.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.05 / $528.07 / $2,034.82	Facility		$259.05	$528.07	$2,034.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $259.54 / $554.99	Professional		$194.66	$259.54	$554.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $445.53 / $446.83 / $592.74	Facility		$445.53	$446.83	$592.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $528.07 / $853.88	Professional		$378.40	$528.07	$853.88
United Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $219.70 / $532.36	Professional		$194.66	$219.70	$532.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $398.09 / $398.09 / $398.09	Facility		$398.09	$398.09	$398.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $398.09 / $398.09	Professional		$314.49	$398.09	$398.09