Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.26 / $401.26 / $467.35	Facility		$401.26	$401.26	$467.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.26 / $335.70 / $587.28	Professional		$234.26	$335.70	$587.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $677.80	Facility		$373.57	$373.57	$677.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.57 / $669.38 / $836.72	Professional		$373.57	$669.38	$836.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.63 / $602.30 / $649.85	Professional		$548.63	$602.30	$649.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.08 / $746.49 / $2,938.67	Facility		$387.08	$746.49	$2,938.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.85 / $322.27 / $840.32	Professional		$278.85	$322.27	$840.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $675.81 / $677.80 / $849.11	Facility		$675.81	$677.80	$849.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $555.13 / $801.03 / $1,295.28	Professional		$555.13	$801.03	$1,295.28
United Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $276.36 / $364.85	Facility		$230.30	$276.36	$364.85
United Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $307.41 / $724.95	Professional		$276.36	$307.41	$724.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $585.37 / $585.37 / $585.37	Facility		$585.37	$585.37	$585.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $585.37 / $585.37	Professional		$462.44	$585.37	$585.37