Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $445.69 / $445.69	Facility		$364.85	$445.69	$445.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $301.19 / $445.69	Professional		$208.90	$301.19	$445.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $664.27	Facility		$344.22	$344.22	$664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.22 / $616.88 / $771.09	Professional		$344.22	$616.88	$771.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $505.50 / $574.79 / $628.94	Professional		$505.50	$574.79	$628.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.11 / $775.97 / $2,561.73	Facility		$385.11	$775.97	$2,561.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.37 / $349.48 / $791.46	Professional		$282.37	$349.48	$791.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $662.33 / $664.27 / $796.14	Facility		$662.33	$664.27	$796.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.11 / $761.82 / $1,269.44	Professional		$535.11	$761.82	$1,269.44
United Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $320.45 / $710.62	Professional		$278.56	$320.45	$710.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $591.79 / $591.79 / $591.79	Facility		$591.79	$591.79	$591.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.52 / $591.79 / $591.79	Professional		$467.52	$591.79	$591.79