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 / $342.80 / $497.24	Professional		$220.27	$342.80	$497.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $600.26	Facility		$375.73	$375.73	$600.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $635.63 / $794.53	Professional		$375.73	$635.63	$794.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $548.39 / $691.86	Professional		$520.97	$548.39	$691.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.79 / $679.93 / $2,563.00	Facility		$358.79	$679.93	$2,563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $285.12 / $745.57	Professional		$244.39	$285.12	$745.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $600.26 / $600.26 / $940.09	Facility		$600.26	$600.26	$940.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.15 / $719.42 / $1,157.01	Professional		$457.15	$719.42	$1,157.01
United Facility/Professional Professional Modifier Low / Median / High Price $244.39 / $272.24 / $712.91	Professional		$244.39	$272.24	$712.91
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