Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.59 / $507.59 / $580.48	Facility		$507.59	$507.59	$580.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.52 / $454.73 / $700.96	Professional		$348.52	$454.73	$700.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $712.09	Facility		$356.59	$356.59	$712.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.59 / $862.50 / $1,078.13	Professional		$356.59	$862.50	$1,078.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $171.08 / $1,008.45	Professional		$80.56	$171.08	$1,008.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $862.90 / $3,879.83	Facility		$109.23	$862.90	$3,879.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $429.01 / $982.91	Professional		$330.17	$429.01	$982.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $258.18	Facility		$109.23	$109.23	$258.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $135.01 / $258.18	Professional		$108.48	$135.01	$258.18
United Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $344.81 / $913.85	Professional		$333.68	$344.81	$913.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $893.70 / $893.70 / $893.70	Facility		$893.70	$893.70	$893.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $706.02 / $893.70 / $893.70	Professional		$706.02	$893.70	$893.70