Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $352.12 / $740.85	Facility		$340.31	$352.12	$740.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $394.76	Professional		$340.31	$340.31	$394.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $328.91 / $328.91	Facility		$328.91	$328.91	$328.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.46 / $355.12 / $433.08	Professional		$346.46	$355.12	$433.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $452.26 / $615.96	Professional		$340.31	$452.26	$615.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $408.04 / $29,984.75	Facility		$339.76	$408.04	$29,984.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $339.76 / $613.54	Professional		$135.90	$339.76	$613.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $399.88 / $493.43 / $1,834.05	Facility		$399.88	$493.43	$1,834.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.55 / $870.96 / $26,130.22	Professional		$403.55	$870.96	$26,130.22
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $442.40	Professional		$136.12	$340.31	$442.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $339.76 / $339.76	Facility		$339.76	$339.76	$339.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $339.76 / $371.82	Professional		$293.74	$339.76	$371.82