Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.85 / $516.69 / $516.69	Facility		$457.85	$516.69	$516.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $382.21 / $519.62	Professional		$239.43	$382.21	$519.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $780.73	Facility		$378.92	$378.92	$780.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.92 / $862.13 / $1,077.66	Professional		$378.92	$862.13	$1,077.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $581.78 / $743.62 / $793.56	Professional		$581.78	$743.62	$793.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.87 / $878.37 / $3,116.55	Facility		$445.87	$878.37	$3,116.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $354.09 / $966.71	Professional		$290.24	$354.09	$966.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $778.46 / $780.73 / $935.71	Facility		$778.46	$780.73	$935.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $628.91 / $883.82 / $1,491.97	Professional		$628.91	$883.82	$1,491.97
United Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $354.09 / $675.56	Professional		$290.24	$354.09	$675.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $695.56 / $695.56 / $695.56	Facility		$695.56	$695.56	$695.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.49 / $695.56 / $695.56	Professional		$549.49	$695.56	$695.56