Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.78 / $473.78 / $501.52	Facility		$473.78	$473.78	$501.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $365.86 / $612.30	Professional		$273.91	$365.86	$612.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $746.37	Facility		$380.63	$380.63	$746.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $790.50 / $988.13	Professional		$380.63	$790.50	$988.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $582.73 / $730.09 / $791.17	Professional		$582.73	$730.09	$791.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.03 / $871.87 / $3,175.29	Facility		$369.03	$871.87	$3,175.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $349.79 / $925.38	Professional		$303.89	$349.79	$925.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $744.19 / $746.37 / $925.38	Facility		$744.19	$746.37	$925.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $611.28 / $871.87 / $1,426.32	Professional		$611.28	$871.87	$1,426.32
United Facility/Professional Professional Modifier Low / Median / High Price $301.18 / $338.51 / $798.37	Professional		$301.18	$338.51	$798.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $644.59 / $644.59 / $644.59	Facility		$644.59	$644.59	$644.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $509.23 / $644.59 / $644.59	Professional		$509.23	$644.59	$644.59