Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $294.83 / $375.71	Facility		$294.83	$294.83	$375.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $264.30 / $408.00	Professional		$170.45	$264.30	$408.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $513.27	Facility		$382.03	$382.03	$513.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $426.00 / $532.50	Professional		$382.03	$426.00	$532.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.17 / $630.92 / $683.72	Professional		$318.17	$630.92	$683.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.30 / $604.40 / $1,660.98	Facility		$264.30	$604.40	$1,660.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $300.57 / $762.97	Professional		$257.63	$300.57	$762.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $513.27 / $554.87 / $700.92	Facility		$513.27	$554.87	$700.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $513.27 / $613.72 / $1,082.03	Professional		$513.27	$613.72	$1,082.03
United Facility/Professional Professional Modifier Low / Median / High Price $255.33 / $278.58 / $615.99	Professional		$255.33	$278.58	$615.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $457.28 / $457.28 / $457.28	Facility		$457.28	$457.28	$457.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $457.28 / $457.28	Professional		$361.25	$457.28	$457.28