Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.70 / $292.23 / $292.23	Facility		$291.70	$292.23	$292.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $180.61 / $263.32	Professional		$125.27	$180.61	$263.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $330.79	Facility		$225.68	$225.68	$330.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $404.63 / $505.78	Professional		$225.68	$404.63	$505.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $348.89 / $413.00	Professional		$291.64	$348.89	$413.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.77 / $396.45 / $1,614.69	Facility		$191.77	$396.45	$1,614.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $200.03 / $410.87	Professional		$148.69	$200.03	$410.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.82 / $330.79 / $456.83	Facility		$329.82	$330.79	$456.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $299.50 / $390.94 / $632.12	Professional		$299.50	$390.94	$632.12
United Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $170.79 / $394.11	Professional		$145.54	$170.79	$394.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $294.70 / $294.70	Facility		$294.70	$294.70	$294.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $294.70 / $294.70	Professional		$232.82	$294.70	$294.70