Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $489.78 / $575.44	Facility		$436.52	$489.78	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $707.95	Facility		$457.09	$457.09	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,000.00	Professional		$457.09	$794.33	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $794.33	Professional		$588.84	$691.83	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $3,090.30	Facility		$436.52	$812.83	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,071.52	Professional		$302.00	$457.09	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $912.01	Professional		$691.83	$724.44	$912.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,071.52	Professional		$691.83	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $1,000.00	Facility		$281.84	$467.74	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $575.44	Professional		$302.00	$338.84	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $616.60	Professional		$489.78	$616.60	$616.60