Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.39 / $344.26 / $344.26	Facility		$338.39	$344.26	$344.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $279.33 / $415.41	Professional		$191.41	$279.33	$415.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $577.47	Facility		$290.63	$290.63	$577.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.63 / $574.50 / $718.13	Professional		$290.63	$574.50	$718.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.89 / $613.85 / $866.27	Professional		$454.89	$613.85	$866.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.79 / $618.24 / $2,531.55	Facility		$329.79	$618.24	$2,531.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $270.64 / $706.55	Professional		$232.04	$270.64	$706.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $575.78 / $577.47 / $706.55	Facility		$575.78	$577.47	$706.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $674.57 / $1,103.56	Professional		$472.96	$674.57	$1,103.56
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $261.91 / $644.10	Professional		$229.97	$261.91	$644.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $498.72 / $498.72 / $498.72	Facility		$498.72	$498.72	$498.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.99 / $498.72 / $498.72	Professional		$393.99	$498.72	$498.72