Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.09 / $344.09 / $365.00	Facility		$344.09	$344.09	$365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $265.79 / $449.12	Professional		$198.95	$265.79	$449.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $542.11	Facility		$312.81	$312.81	$542.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $574.13 / $717.66	Professional		$312.81	$574.13	$717.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.19 / $508.00 / $550.50	Professional		$468.19	$508.00	$550.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $584.95 / $2,306.87	Facility		$309.58	$584.95	$2,306.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $255.16 / $672.31	Professional		$220.78	$255.16	$672.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $540.52 / $542.11 / $672.31	Facility		$540.52	$542.11	$672.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $633.26 / $1,035.96	Professional		$443.99	$633.26	$1,035.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $245.87 / $643.79	Professional		$218.81	$245.87	$643.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $482.97 / $482.97 / $482.97	Facility		$482.97	$482.97	$482.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $482.97 / $482.97	Professional		$381.55	$482.97	$482.97