Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.01 / $374.68 / $374.68	Facility		$329.01	$374.68	$374.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $240.00 / $378.03	Professional		$187.34	$240.00	$378.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $489.67	Facility		$318.35	$318.35	$489.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $518.63 / $648.28	Professional		$318.35	$518.63	$648.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.95 / $449.71 / $546.19	Professional		$424.95	$449.71	$546.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $578.70 / $2,083.02	Facility		$283.88	$578.70	$2,083.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.81 / $278.48 / $608.21	Professional		$212.81	$278.48	$608.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $488.23 / $489.67 / $607.04	Facility		$488.23	$489.67	$607.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $401.03 / $572.00 / $935.74	Professional		$401.03	$572.00	$935.74
United Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $222.08 / $581.52	Professional		$220.10	$222.08	$581.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $436.25 / $436.25 / $436.25	Facility		$436.25	$436.25	$436.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $344.64 / $436.25 / $436.25	Professional		$344.64	$436.25	$436.25