Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.70 / $377.69 / $377.69	Facility		$303.70	$377.69	$377.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $264.18 / $377.69	Professional		$174.38	$264.18	$377.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $462.59	Facility		$315.73	$315.73	$462.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.73 / $613.96 / $787.50	Professional		$315.73	$613.96	$787.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $534.04 / $565.91	Professional		$400.27	$534.04	$565.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.92 / $540.36 / $2,210.04	Facility		$207.92	$540.36	$2,210.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.04 / $235.28 / $574.55	Professional		$201.04	$235.28	$574.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $461.24 / $462.59 / $634.14	Facility		$461.24	$462.59	$634.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $546.70 / $883.98	Professional		$378.84	$546.70	$883.98
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $201.04 / $209.80 / $551.59	Professional		$201.04	$209.80	$551.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $412.13 / $412.13 / $412.13	Facility		$412.13	$412.13	$412.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $412.13 / $412.13	Professional		$325.58	$412.13	$412.13