Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.68 / $346.90 / $346.90	Facility		$304.68	$346.90	$346.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $222.24 / $350.09	Professional		$173.49	$222.24	$350.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $453.39	Facility		$267.94	$267.94	$453.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.94 / $480.00 / $600.00	Professional		$267.94	$480.00	$600.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.46 / $437.20 / $535.72	Professional		$393.46	$437.20	$535.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.85 / $535.82 / $1,928.91	Facility		$262.85	$535.82	$1,928.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $257.87 / $563.14	Professional		$197.04	$257.87	$563.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $452.06 / $453.39 / $562.12	Facility		$452.06	$453.39	$562.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.33 / $529.62 / $866.41	Professional		$371.33	$529.62	$866.41
United Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $208.35 / $538.41	Professional		$197.04	$208.35	$538.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $403.93 / $403.93 / $403.93	Facility		$403.93	$403.93	$403.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $403.93 / $403.93	Professional		$319.10	$403.93	$403.93