Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $371.54	Facility		$331.13	$346.74	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $380.19	Professional		$190.55	$229.09	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $501.19	Facility		$316.23	$316.23	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $645.65	Professional		$316.23	$512.86	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $549.54	Professional		$426.58	$457.09	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $2,089.30	Facility		$302.00	$575.44	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $758.58	Professional		$213.80	$302.00	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $602.56	Professional		$489.78	$512.86	$602.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $741.31	Professional		$457.09	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $645.65	Facility		$199.53	$331.13	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $407.38	Professional		$204.17	$229.09	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $436.52	Professional		$346.74	$436.52	$436.52