Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $355.36	Facility		$306.83	$306.83	$355.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $220.02 / $316.50	Professional		$156.85	$220.02	$316.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $402.95	Facility		$228.90	$228.90	$402.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $424.50 / $530.63	Professional		$228.90	$424.50	$530.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $488.65 / $586.58	Professional		$355.28	$488.65	$586.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $470.70 / $1,907.92	Facility		$233.61	$470.70	$1,907.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $243.67 / $500.50	Professional		$181.12	$243.67	$500.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $401.78 / $402.95 / $556.50	Facility		$401.78	$402.95	$556.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $364.84 / $470.70 / $770.02	Professional		$364.84	$470.70	$770.02
United Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $182.75 / $433.91	Professional		$181.12	$182.75	$433.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $358.99 / $358.99 / $358.99	Facility		$358.99	$358.99	$358.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $358.99 / $358.99	Professional		$283.60	$358.99	$358.99