Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.31 / $396.31 / $464.04	Facility		$396.31	$396.31	$464.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $312.22 / $464.29	Professional		$215.38	$312.22	$464.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $645.47	Facility		$379.04	$379.04	$645.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.41 / $661.13 / $826.41	Professional		$533.41	$661.13	$826.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $570.38 / $591.55	Professional		$508.46	$570.38	$591.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.62 / $741.20 / $2,777.77	Facility		$368.62	$741.20	$2,777.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $302.50 / $789.71	Professional		$259.33	$302.50	$789.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.59 / $645.47 / $789.71	Facility		$643.59	$645.47	$789.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $543.69 / $754.00 / $1,233.48	Professional		$543.69	$754.00	$1,233.48
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $292.75 / $741.49	Professional		$257.02	$292.75	$741.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $575.04 / $575.04 / $575.04	Facility		$575.04	$575.04	$575.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $454.29 / $575.04 / $575.04	Professional		$454.29	$575.04	$575.04