Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.85 / $349.85 / $366.33	Facility		$349.85	$349.85	$366.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $302.41 / $548.46	Professional		$254.43	$302.41	$548.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $557.40	Facility		$319.76	$319.76	$557.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.90 / $583.88 / $729.84	Professional		$470.90	$583.88	$729.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $603.09 / $651.62	Professional		$478.33	$603.09	$651.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.32 / $651.12 / $2,697.83	Facility		$318.32	$651.12	$2,697.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $287.79 / $692.35	Professional		$242.25	$287.79	$692.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $557.40 / $565.25 / $766.99	Facility		$557.40	$565.25	$766.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $658.75 / $1,065.19	Professional		$456.50	$658.75	$1,065.19
United Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $252.80 / $654.55	Professional		$242.25	$252.80	$654.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $496.60 / $496.60 / $496.60	Facility		$496.60	$496.60	$496.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.31 / $496.60 / $496.60	Professional		$392.31	$496.60	$496.60