Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $255.53 / $255.53	Facility		$224.38	$255.53	$255.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $163.66 / $257.83	Professional		$127.78	$163.66	$257.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $333.89	Facility		$170.29	$170.29	$333.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $353.63 / $442.03	Professional		$170.29	$353.63	$442.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.82 / $354.97 / $483.12	Professional		$289.82	$354.97	$483.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $394.60 / $1,420.57	Facility		$193.58	$394.60	$1,420.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $189.92 / $414.74	Professional		$145.12	$189.92	$414.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $332.92 / $333.89 / $414.00	Facility		$332.92	$333.89	$414.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $273.48 / $390.04 / $638.11	Professional		$273.48	$390.04	$638.11
United Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $172.41 / $357.17	Professional		$145.12	$172.41	$357.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $297.47 / $297.47	Facility		$297.47	$297.47	$297.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $297.47 / $297.47	Professional		$235.00	$297.47	$297.47