Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $309.89 / $309.89	Facility		$272.14	$309.89	$309.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $198.52 / $312.72	Professional		$154.97	$198.52	$312.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $404.99	Facility		$239.35	$239.35	$404.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.04 / $429.00 / $536.25	Professional		$346.04	$429.00	$536.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $383.27 / $469.64	Professional		$351.49	$383.27	$469.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.79 / $478.62 / $1,722.99	Facility		$234.79	$478.62	$1,722.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.01 / $230.35 / $503.03	Professional		$176.01	$230.35	$503.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $403.80 / $404.99 / $502.13	Facility		$403.80	$404.99	$502.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.70 / $473.08 / $773.94	Professional		$331.70	$473.08	$773.94
United Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $196.15 / $482.52	Professional		$175.49	$196.15	$482.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $360.81 / $360.81 / $360.81	Facility		$360.81	$360.81	$360.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $285.04 / $360.81 / $360.81	Professional		$285.04	$360.81	$360.81