Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $353.43 / $353.43	Facility		$310.87	$353.43	$353.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $227.42 / $346.58	Professional		$164.88	$227.42	$346.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $470.79	Facility		$277.45	$277.45	$470.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $489.00 / $611.25	Professional		$277.45	$489.00	$611.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.05 / $405.65 / $427.99	Professional		$344.05	$405.65	$427.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $564.53 / $1,976.32	Facility		$277.33	$564.53	$1,976.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $283.37 / $584.77	Professional		$204.61	$283.37	$584.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.79 / $470.79 / $575.25	Facility		$470.79	$470.79	$575.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.60 / $549.95 / $899.70	Professional		$385.60	$549.95	$899.70
United Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $249.63 / $548.54	Professional		$204.61	$249.63	$548.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $419.43 / $419.43 / $419.43	Facility		$419.43	$419.43	$419.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.35 / $419.43 / $419.43	Professional		$331.35	$419.43	$419.43