Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.91 / $379.91 / $393.32	Facility		$379.91	$379.91	$393.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $286.07 / $425.41	Professional		$196.02	$286.07	$425.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $523.92	Facility		$297.62	$297.62	$523.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.62 / $633.75 / $792.19	Professional		$297.62	$633.75	$792.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.60 / $440.40 / $546.76	Professional		$407.60	$440.40	$546.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $619.19 / $2,544.94	Facility		$299.20	$619.19	$2,544.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $268.45 / $650.77	Professional		$227.71	$268.45	$650.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $522.40 / $523.92 / $723.57	Facility		$522.40	$523.92	$723.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $460.82 / $619.19 / $1,001.21	Professional		$460.82	$619.19	$1,001.21
United Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $237.62 / $560.46	Professional		$227.71	$237.62	$560.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $466.77 / $466.77 / $466.77	Facility		$466.77	$466.77	$466.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $466.77 / $466.77	Professional		$368.75	$466.77	$466.77