Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $446.68	Facility		$323.59	$323.59	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $457.09	Professional		$223.87	$323.59	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $588.84	Facility		$323.59	$323.59	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $758.58 / $933.25	Professional		$323.59	$758.58	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $645.65	Professional		$489.78	$549.54	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $2,818.38	Facility		$354.81	$660.69	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $933.25	Professional		$245.47	$331.13	$933.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $794.33	Professional		$575.44	$588.84	$794.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $870.96	Professional		$602.56	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $851.14	Facility		$199.53	$346.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $489.78	Professional		$245.47	$257.04	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $512.86	Professional		$398.11	$512.86	$512.86