Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.71 / $398.05 / $398.05	Facility		$375.71	$398.05	$398.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $310.14 / $518.51	Professional		$231.65	$310.14	$518.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $614.27	Facility		$347.46	$347.46	$614.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $664.13 / $830.16	Professional		$347.46	$664.13	$830.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $652.98 / $745.37	Professional		$530.51	$652.98	$745.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $676.69 / $2,780.76	Facility		$350.80	$676.69	$2,780.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $296.33 / $762.97	Professional		$257.58	$296.33	$762.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $612.47 / $614.27 / $784.51	Facility		$612.47	$614.27	$784.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $503.09 / $717.55 / $1,173.85	Professional		$503.09	$717.55	$1,173.85
United Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $278.58 / $657.02	Professional		$257.58	$278.58	$657.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $547.26 / $547.26 / $547.26	Facility		$547.26	$547.26	$547.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $432.34 / $547.26 / $547.26	Professional		$432.34	$547.26	$547.26