Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $472.60 / $472.60	Facility		$371.14	$472.60	$472.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $320.45 / $488.46	Professional		$211.06	$320.45	$488.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $561.14	Facility		$361.45	$361.45	$561.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.45 / $788.63 / $985.78	Professional		$361.45	$788.63	$985.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $591.19 / $791.47	Professional		$485.55	$591.19	$791.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.45 / $655.49 / $2,665.73	Facility		$320.45	$655.49	$2,665.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $289.73 / $696.98	Professional		$243.88	$289.73	$696.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $559.51 / $561.14 / $774.98	Facility		$559.51	$561.14	$774.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.59 / $663.17 / $1,072.33	Professional		$459.59	$663.17	$1,072.33
United Facility/Professional Professional Modifier Low / Median / High Price $249.19 / $254.50 / $600.17	Professional		$249.19	$254.50	$600.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $499.93 / $499.93 / $499.93	Facility		$499.93	$499.93	$499.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $394.94 / $499.93 / $499.93	Professional		$394.94	$499.93	$499.93