Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.11 / $279.11 / $292.25	Facility		$279.11	$279.11	$292.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $241.26 / $358.77	Professional		$166.43	$241.26	$358.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $559.77	Facility		$251.00	$251.00	$559.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $465.75 / $582.19	Professional		$251.00	$465.75	$582.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.76 / $442.11 / $508.88	Professional		$392.76	$442.11	$508.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $319.68 / $586.01 / $2,126.12	Facility		$319.68	$586.01	$2,126.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $253.87 / $667.47	Professional		$200.40	$253.87	$667.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $558.13 / $559.77 / $670.88	Facility		$558.13	$559.77	$670.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $610.24 / $1,069.70	Professional		$450.91	$610.24	$1,069.70
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $253.87 / $584.50	Professional		$198.61	$253.87	$584.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $498.70 / $498.70 / $498.70	Facility		$498.70	$498.70	$498.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.97 / $498.70 / $498.70	Professional		$393.97	$498.70	$498.70