Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.30 / $363.30 / $497.56	Facility		$363.30	$363.30	$497.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.18 / $322.08 / $605.76	Professional		$215.18	$322.08	$605.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $575.15	Facility		$373.35	$373.35	$575.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $606.00 / $757.50	Professional		$373.35	$606.00	$757.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $496.72 / $606.35 / $667.05	Professional		$496.72	$606.35	$667.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.46 / $671.85 / $2,832.34	Facility		$328.46	$671.85	$2,832.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.96 / $294.70 / $714.38	Professional		$249.96	$294.70	$714.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $573.47 / $575.15 / $794.32	Facility		$573.47	$575.15	$794.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $679.72 / $1,099.08	Professional		$520.75	$679.72	$1,099.08
United Facility/Professional Professional Modifier Low / Median / High Price $249.96 / $260.85 / $679.72	Professional		$249.96	$260.85	$679.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $512.40 / $512.40 / $512.40	Facility		$512.40	$512.40	$512.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $404.80 / $512.40 / $512.40	Professional		$404.80	$512.40	$512.40