Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $252.63	Facility		$243.10	$243.10	$252.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $186.27 / $347.36	Professional		$129.47	$186.27	$347.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.07 / $607.88 / $759.84	Professional		$409.07	$607.88	$759.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.99 / $601.54 / $625.40	Professional		$520.99	$601.54	$625.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $582.87 / $1,416.02	Facility		$186.27	$582.87	$1,416.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $272.11 / $623.00	Professional		$157.12	$272.11	$623.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.88 / $388.16 / $623.00	Facility		$325.88	$388.16	$623.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $325.88 / $539.54 / $796.18	Professional		$325.88	$539.54	$796.18
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $156.90 / $230.98 / $444.63	Professional		$156.90	$230.98	$444.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $532.20 / $532.20 / $532.20	Facility		$532.20	$532.20	$532.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $420.44 / $532.20 / $532.20	Professional		$420.44	$532.20	$532.20