Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.12 / $449.99 / $449.99	Facility		$404.12	$449.99	$449.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $326.02 / $463.54	Professional		$221.79	$326.02	$463.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $570.90	Facility		$324.30	$324.30	$570.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.90 / $750.75 / $938.44	Professional		$570.90	$750.75	$938.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.99 / $545.00 / $647.63	Professional		$493.99	$545.00	$647.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $666.89 / $2,792.04	Facility		$326.02	$666.89	$2,792.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $292.52 / $709.11	Professional		$248.11	$292.52	$709.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $569.22 / $570.90 / $788.44	Facility		$569.22	$570.90	$788.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.48 / $674.70 / $1,090.98	Professional		$473.48	$674.70	$1,090.98
United Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $258.92 / $680.75	Professional		$248.11	$258.92	$680.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $508.62 / $508.62 / $508.62	Facility		$508.62	$508.62	$508.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $508.62 / $508.62	Professional		$401.81	$508.62	$508.62