Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.82 / $513.29 / $513.29	Facility		$413.82	$513.29	$513.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.09 / $368.76 / $513.00	Professional		$234.09	$368.76	$513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $645.71	Facility		$477.88	$477.88	$645.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.71 / $856.50 / $1,070.63	Professional		$645.71	$856.50	$1,070.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.66 / $738.73 / $866.27	Professional		$557.66	$738.73	$866.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.76 / $754.27 / $3,084.21	Facility		$368.76	$754.27	$3,084.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.63 / $320.60 / $802.01	Professional		$280.63	$320.60	$802.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.80 / $645.71 / $864.09	Facility		$643.80	$645.71	$864.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $528.84 / $754.27 / $1,233.94	Professional		$528.84	$754.27	$1,233.94
United Facility/Professional Professional Modifier Low / Median / High Price $280.63 / $292.85 / $753.06	Professional		$280.63	$292.85	$753.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $557.66 / $557.66 / $557.66	Facility		$557.66	$557.66	$557.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.55 / $557.66 / $557.66	Professional		$440.55	$557.66	$557.66