Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.75 / $425.75 / $537.16	Facility		$425.75	$425.75	$537.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.66 / $400.11 / $599.60	Professional		$275.66	$400.11	$599.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $646.14	Facility		$429.00	$429.00	$646.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $810.00 / $1,012.50	Professional		$59.62	$810.00	$1,012.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $150.00 / $770.88	Professional		$70.79	$150.00	$770.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $723.78 / $3,520.55	Facility		$91.22	$723.78	$3,520.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $327.87 / $857.30	Professional		$246.53	$327.87	$857.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $91.22 / $215.62	Facility		$86.89	$91.22	$215.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $107.17 / $215.62	Professional		$86.22	$107.17	$215.62
United Facility/Professional Professional Modifier Low / Median / High Price $246.88 / $302.87 / $676.11	Professional		$246.88	$302.87	$676.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $746.37 / $746.37 / $746.37	Facility		$746.37	$746.37	$746.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $589.63 / $746.37 / $746.37	Professional		$589.63	$746.37	$746.37