Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.85 / $372.85 / $390.41	Facility		$372.85	$372.85	$390.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $339.77 / $639.02	Professional		$220.84	$339.77	$639.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $679.10	Facility		$347.13	$347.13	$679.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $622.13 / $777.66	Professional		$347.13	$622.13	$777.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $509.77 / $721.86 / $911.16	Professional		$509.77	$721.86	$911.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.82 / $713.34 / $2,901.23	Facility		$387.82	$713.34	$2,901.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $318.26 / $809.76	Professional		$267.70	$318.26	$809.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $677.10 / $679.10 / $815.17	Facility		$677.10	$679.10	$815.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $547.03 / $793.27 / $1,297.73	Professional		$547.03	$793.27	$1,297.73
United Facility/Professional Professional Modifier Low / Median / High Price $265.32 / $307.99 / $726.46	Professional		$265.32	$307.99	$726.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $605.01 / $605.01 / $605.01	Facility		$605.01	$605.01	$605.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $477.96 / $605.01 / $605.01	Professional		$477.96	$605.01	$605.01