Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $537.03	Facility		$478.63	$478.63	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $630.96	Professional		$323.59	$426.58	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $954.99	Facility		$275.42	$275.42	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $776.25 / $1,122.02	Professional		$275.42	$776.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Professional		$61.66	$77.62	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $891.25 / $3,630.78	Facility		$93.33	$891.25	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $977.24	Professional		$257.04	$407.38	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,238.72	Professional		$933.25	$1,096.48	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Facility		$891.25	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $275.42 / $549.54	Facility		$33.88	$275.42	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $1,071.52	Professional		$338.84	$398.11	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $776.25	Professional		$602.56	$776.25	$776.25