Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.07 / $346.07 / $366.35	Facility		$346.07	$346.07	$366.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.08 / $267.24 / $447.27	Professional		$200.08	$267.24	$447.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $545.23	Facility		$278.04	$278.04	$545.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $577.50 / $721.88	Professional		$278.04	$577.50	$721.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $497.80 / $522.97	Professional		$473.17	$497.80	$522.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.37 / $611.53 / $2,319.50	Facility		$311.37	$611.53	$2,319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $255.52 / $677.21	Professional		$220.01	$255.52	$677.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $543.63 / $545.23 / $675.97	Facility		$543.63	$545.23	$675.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.54 / $636.89 / $1,041.91	Professional		$446.54	$636.89	$1,041.91
United Facility/Professional Facility Modifier Low / Median / High Price $183.34 / $220.01 / $290.45	Facility		$183.34	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $247.28 / $647.49	Professional		$220.01	$247.28	$647.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $470.88 / $470.88 / $470.88	Facility		$470.88	$470.88	$470.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $470.88 / $470.88	Professional		$372.00	$470.88	$470.88