Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.68 / $393.69 / $393.69	Facility		$345.68	$393.69	$393.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $252.17 / $397.21	Professional		$196.84	$252.17	$397.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $514.46	Facility		$294.27	$294.27	$514.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $544.88 / $681.09	Professional		$294.27	$544.88	$681.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $501.72 / $614.78	Professional		$446.52	$501.72	$614.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.26 / $608.00 / $2,188.60	Facility		$298.26	$608.00	$2,188.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $292.60 / $639.01	Professional		$223.58	$292.60	$639.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.96 / $514.46 / $637.83	Facility		$512.96	$514.46	$637.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $600.97 / $983.13	Professional		$421.34	$600.97	$983.13
United Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $276.79 / $315.60	Facility		$173.00	$276.79	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $265.62 / $612.95	Professional		$223.58	$265.62	$612.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $458.34 / $458.34 / $458.34	Facility		$458.34	$458.34	$458.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.09 / $458.34 / $458.34	Professional		$362.09	$458.34	$458.34