Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Facility		$371.54	$371.54	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $549.54	Professional		$263.03	$331.13	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Facility		$416.87	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $933.25	Professional		$416.87	$741.31	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $645.65	Professional		$512.86	$549.54	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $2,951.21	Facility		$407.38	$741.31	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $1,000.00	Professional		$275.42	$371.54	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $851.14	Professional		$645.65	$676.08	$851.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,000.00	Professional		$645.65	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $912.01	Facility		$213.80	$371.54	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $537.03	Professional		$275.42	$295.12	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $575.44	Professional		$457.09	$575.44	$575.44