Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.21 / $579.51 / $579.51	Facility		$441.21	$579.51	$579.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.61 / $364.22 / $556.20	Professional		$264.61	$364.22	$556.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $696.86	Facility		$459.90	$459.90	$696.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.05 / $802.13 / $1,002.66	Professional		$647.05	$802.13	$1,002.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $614.41 / $691.87 / $798.78	Professional		$614.41	$691.87	$798.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.00 / $823.56 / $3,120.86	Facility		$404.00	$823.56	$3,120.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.86 / $404.67 / $865.56	Professional		$302.86	$404.67	$865.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.82 / $696.86 / $921.26	Facility		$694.82	$696.86	$921.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $570.72 / $814.02 / $1,331.67	Professional		$570.72	$814.02	$1,331.67
United Facility/Professional Professional Modifier Low / Median / High Price $302.86 / $349.66 / $830.26	Professional		$302.86	$349.66	$830.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $490.46 / $620.84 / $620.84	Professional		$490.46	$620.84	$620.84