Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.77 / $314.66 / $314.66	Facility		$266.77	$314.66	$314.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $204.67 / $315.45	Professional		$150.08	$204.67	$315.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $499.81	Facility		$302.83	$302.83	$499.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $435.38 / $544.22	Professional		$302.83	$435.38	$544.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.50 / $531.29 / $862.58	Professional		$363.50	$531.29	$862.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.49 / $583.83 / $1,623.77	Facility		$279.49	$583.83	$1,623.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $255.02 / $595.49	Professional		$202.23	$255.02	$595.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $498.34 / $499.81 / $599.02	Facility		$498.34	$499.81	$599.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $391.18 / $538.25 / $955.12	Professional		$391.18	$538.25	$955.12
United Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $224.66 / $256.16	Facility		$140.41	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $226.68 / $396.69	Professional		$196.49	$226.68	$396.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $445.28 / $445.28 / $445.28	Facility		$445.28	$445.28	$445.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $351.77 / $445.28 / $445.28	Professional		$351.77	$445.28	$445.28