Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $467.74	Facility		$323.59	$323.59	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $478.63	Professional		$223.87	$309.03	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $575.44	Facility		$363.08	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $977.24	Professional		$363.08	$794.33	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $794.33	Professional		$489.78	$588.84	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $660.69 / $2,691.53	Facility		$346.74	$660.69	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $891.25	Professional		$245.47	$323.59	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $776.25	Professional		$562.34	$588.84	$776.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $851.14	Professional		$588.84	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $831.76	Facility		$194.98	$363.08	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $489.78	Professional		$239.88	$257.04	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Professional		$398.11	$501.19	$501.19