Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $707.95	Facility		$131.83	$131.83	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $288.40	Professional		$123.03	$144.54	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $645.65	Facility		$616.60	$630.96	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $512.86	Professional		$208.93	$371.54	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $707.95	Professional		$141.25	$257.04	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $7,585.78	Facility		$213.80	$501.19	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $3,090.30	Professional		$169.82	$331.13	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $660.69	Professional		$302.00	$389.05	$660.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $660.69	Professional		$331.13	$338.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $436.52	Professional		$154.88	$229.09	$436.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03