Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.79 / $453.79 / $533.75	Facility		$453.79	$453.79	$533.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.22 / $398.35 / $599.00	Professional		$273.22	$398.35	$599.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $412.57	Facility		$150.00	$150.00	$412.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $832.50 / $1,040.63	Professional		$60.41	$832.50	$1,040.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $150.00 / $764.24	Professional		$70.02	$150.00	$764.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $771.44 / $2,247.90	Facility		$86.22	$771.44	$2,247.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.08 / $325.00 / $734.72	Professional		$249.08	$325.00	$734.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.41 / $86.22 / $203.79	Facility		$83.41	$86.22	$203.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $102.97 / $203.79	Professional		$82.87	$102.97	$203.79
United Facility/Professional Professional Modifier Low / Median / High Price $249.43 / $297.92 / $683.09	Professional		$249.43	$297.92	$683.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $705.42 / $705.42 / $705.42	Facility		$705.42	$705.42	$705.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $557.28 / $705.42 / $705.42	Professional		$557.28	$705.42	$705.42