Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.74 / $451.60 / $451.60	Facility		$386.74	$451.60	$451.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $257.87 / $354.08	Professional		$168.45	$257.87	$354.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $444.81	Facility		$252.68	$252.68	$444.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.68 / $625.13 / $781.41	Professional		$252.68	$625.13	$781.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.18 / $539.16 / $643.42	Professional		$392.18	$539.16	$643.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.87 / $519.59 / $2,076.44	Facility		$257.87	$519.59	$2,076.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.93 / $268.98 / $552.48	Professional		$199.93	$268.98	$552.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.50 / $444.81 / $614.29	Facility		$443.50	$444.81	$614.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $519.59 / $850.01	Professional		$395.00	$519.59	$850.01
United Facility/Professional Professional Modifier Low / Median / High Price $199.93 / $229.66 / $529.95	Professional		$199.93	$229.66	$529.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $396.28 / $396.28 / $396.28	Facility		$396.28	$396.28	$396.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $396.28 / $396.28	Professional		$313.06	$396.28	$396.28