Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $346.74 / $371.54	Facility		$323.59	$346.74	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $371.54	Professional		$190.55	$229.09	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $501.19	Facility		$288.40	$288.40	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $645.65	Professional		$288.40	$512.86	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Professional		$416.87	$501.19	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $2,089.30	Facility		$302.00	$562.34	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $741.31	Professional		$208.93	$295.12	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $602.56	Professional		$489.78	$501.19	$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 $194.98 / $331.13 / $645.65	Facility		$194.98	$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 $338.84 / $436.52 / $436.52	Professional		$338.84	$436.52	$436.52