Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.60 / $347.60 / $349.26	Facility		$347.60	$347.60	$349.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $276.20 / $410.73	Professional		$190.53	$276.20	$410.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $533.25	Facility		$352.55	$352.55	$533.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $580.13 / $725.16	Professional		$352.55	$580.13	$725.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $566.83 / $1,022.21	Professional		$449.82	$566.83	$1,022.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.52 / $612.46 / $2,469.31	Facility		$304.52	$612.46	$2,469.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $259.20 / $662.32	Professional		$227.38	$259.20	$662.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $531.69 / $533.25 / $698.61	Facility		$531.69	$533.25	$698.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.73 / $622.90 / $1,019.00	Professional		$436.73	$622.90	$1,019.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $241.84 / $635.84	Professional		$227.38	$241.84	$635.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $460.53 / $460.53 / $460.53	Facility		$460.53	$460.53	$460.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $460.53 / $460.53	Professional		$363.82	$460.53	$460.53