Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.54 / $343.62 / $483.22	Facility		$224.54	$343.62	$483.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $203.05 / $308.56	Professional		$151.22	$203.05	$308.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $358.45	Facility		$274.27	$274.27	$358.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $475.50 / $594.38	Professional		$274.27	$475.50	$594.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.04 / $410.25 / $499.67	Professional		$316.04	$410.25	$499.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.81 / $418.72 / $1,565.88	Facility		$207.81	$418.72	$1,565.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $208.15 / $445.23	Professional		$155.78	$208.15	$445.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $357.41 / $358.45 / $468.85	Facility		$357.41	$358.45	$468.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $423.62 / $684.98	Professional		$293.57	$423.62	$684.98
United Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $162.57 / $383.45	Professional		$155.78	$162.57	$383.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $325.86 / $325.86 / $325.86	Facility		$325.86	$325.86	$325.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $325.86 / $325.86	Professional		$257.43	$325.86	$325.86