Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $309.03	Facility		$269.15	$288.40	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Facility		$239.88	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $537.03	Professional		$239.88	$426.58	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $467.74	Professional		$346.74	$389.05	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $1,737.80	Facility		$251.19	$467.74	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $630.96	Professional		$173.78	$251.19	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $501.19	Professional		$407.38	$416.87	$501.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $616.60	Professional		$380.19	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $537.03	Facility		$162.18	$275.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $338.84	Professional		$169.82	$190.55	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $363.08	Professional		$281.84	$363.08	$363.08