Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.99 / $372.39 / $372.39	Facility		$326.99	$372.39	$372.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $238.53 / $375.75	Professional		$186.21	$238.53	$375.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $486.63	Facility		$286.80	$286.80	$486.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.78 / $515.25 / $644.05	Professional		$415.78	$515.25	$644.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $493.05 / $604.16	Professional		$422.36	$493.05	$604.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.12 / $575.11 / $2,070.19	Facility		$282.12	$575.11	$2,070.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $276.77 / $604.41	Professional		$211.48	$276.77	$604.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $485.20 / $486.63 / $603.34	Facility		$485.20	$486.63	$603.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $568.44 / $929.92	Professional		$398.54	$568.44	$929.92
United Facility/Professional Professional Modifier Low / Median / High Price $218.73 / $220.70 / $526.62	Professional		$218.73	$220.70	$526.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $433.54 / $433.54 / $433.54	Facility		$433.54	$433.54	$433.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $433.54 / $433.54	Professional		$342.50	$433.54	$433.54