Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.04 / $381.04 / $403.34	Facility		$381.04	$381.04	$403.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $294.22 / $492.42	Professional		$220.27	$294.22	$492.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $600.26	Facility		$321.89	$336.03	$600.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.84 / $635.63 / $794.53	Professional		$512.84	$635.63	$794.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.98 / $545.69 / $551.32	Professional		$506.98	$545.69	$551.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.80 / $647.77 / $2,563.00	Facility		$342.80	$647.77	$2,563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $282.45 / $744.18	Professional		$244.39	$282.45	$744.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $598.51 / $600.26 / $744.18	Facility		$598.51	$600.26	$744.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $701.19 / $1,147.08	Professional		$491.60	$701.19	$1,147.08
United Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $275.83 / $715.76	Professional		$242.21	$275.83	$715.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $518.41 / $518.41 / $518.41	Facility		$518.41	$518.41	$518.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $409.54 / $518.41 / $518.41	Professional		$409.54	$518.41	$518.41