Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.23 / $414.23 / $522.20	Facility		$414.23	$414.23	$522.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $393.75 / $581.25	Professional		$263.81	$393.75	$581.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $649.07	Facility		$316.74	$316.74	$649.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.74 / $791.25 / $989.06	Professional		$316.74	$791.25	$989.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $150.00 / $737.73	Professional		$68.83	$150.00	$737.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $704.19 / $3,536.46	Facility		$88.50	$704.19	$3,536.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.25 / $313.74 / $830.38	Professional		$240.25	$313.74	$830.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $88.50 / $209.17	Facility		$83.84	$88.50	$209.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $103.41 / $209.17	Professional		$83.21	$103.41	$209.17
United Facility/Professional Professional Modifier Low / Median / High Price $240.59 / $313.74 / $658.89	Professional		$240.59	$313.74	$658.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $724.05 / $724.05 / $724.05	Facility		$724.05	$724.05	$724.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $724.05 / $724.05	Professional		$572.00	$724.05	$724.05