Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $389.05	Facility		$363.08	$363.08	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $478.63	Professional		$218.78	$295.12	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $645.65	Facility		$316.23	$316.23	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $645.65 / $812.83	Professional		$316.23	$645.65	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $630.96	Professional		$478.63	$575.44	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $2,754.23	Facility		$398.11	$660.69	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $977.24	Professional		$251.19	$354.81	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $758.58	Professional		$630.96	$660.69	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $977.24	Professional		$575.44	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $398.11 / $812.83	Facility		$194.98	$398.11	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $537.03	Professional		$245.47	$288.40	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $562.34	Professional		$446.68	$562.34	$562.34