Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $416.26 / $416.26	Facility		$399.55	$416.26	$416.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $307.92 / $474.27	Professional		$203.30	$307.92	$474.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $601.92	Facility		$387.54	$387.54	$601.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $694.50 / $868.13	Professional		$387.54	$694.50	$868.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $509.23 / $586.59 / $621.60	Professional		$509.23	$586.59	$621.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.75 / $703.13 / $2,619.48	Facility		$343.75	$703.13	$2,619.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.45 / $284.83 / $747.64	Professional		$246.45	$284.83	$747.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $600.16 / $601.92 / $750.46	Facility		$600.16	$601.92	$750.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.97 / $703.13 / $1,150.26	Professional		$492.97	$703.13	$1,150.26
United Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $272.99 / $717.75	Professional		$244.25	$272.99	$717.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $536.27 / $536.27 / $536.27	Facility		$536.27	$536.27	$536.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $423.65 / $536.27 / $536.27	Professional		$423.65	$536.27	$536.27