Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $380.19	Facility		$169.82	$169.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $478.63	Professional		$158.49	$181.97	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $616.60	Facility		$588.84	$602.56	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $575.44	Professional		$457.09	$457.09	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $602.56	Professional		$165.96	$288.40	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $1,071.52	Facility		$363.08	$512.86	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $707.95	Professional		$186.21	$363.08	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $724.44	Professional		$371.54	$457.09	$724.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $489.78	Professional		$446.68	$446.68	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $489.78	Professional		$186.21	$223.87	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $380.19	Professional		$257.04	$323.59	$380.19