Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.91 / $351.91 / $407.57	Facility		$351.91	$351.91	$407.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $252.34 / $368.94	Professional		$182.83	$252.34	$368.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $462.17	Facility		$373.38	$373.38	$462.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.92 / $487.13 / $608.91	Professional		$392.92	$487.13	$608.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $983.00 / $1,180.00	Professional		$407.48	$983.00	$1,180.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.93 / $539.87 / $2,188.23	Facility		$267.93	$539.87	$2,188.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $279.47 / $574.04	Professional		$207.73	$279.47	$574.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $460.81 / $462.17 / $638.26	Facility		$460.81	$462.17	$638.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $539.87 / $883.15	Professional		$410.00	$539.87	$883.15
United Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $242.24 / $494.37	Professional		$207.73	$242.24	$494.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $411.75 / $411.75	Facility		$411.75	$411.75	$411.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $411.75 / $411.75	Professional		$325.27	$411.75	$411.75