Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.43 / $553.05 / $553.05	Facility		$439.43	$553.05	$553.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $362.75 / $553.05	Professional		$251.61	$362.75	$553.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $788.63	Facility		$427.13	$427.13	$788.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.13 / $765.38 / $956.72	Professional		$427.13	$765.38	$956.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $609.40 / $716.94 / $845.42	Professional		$609.40	$716.94	$845.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.21 / $921.24 / $3,226.39	Facility		$457.21	$921.24	$3,226.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.08 / $420.91 / $960.79	Professional		$340.08	$420.91	$960.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $786.33 / $788.63 / $945.19	Facility		$786.33	$788.63	$945.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.00 / $917.55 / $1,507.07	Professional		$645.00	$917.55	$1,507.07
United Facility/Professional Professional Modifier Low / Median / High Price $340.08 / $369.60 / $843.63	Professional		$340.08	$369.60	$843.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $702.60 / $702.60 / $702.60	Facility		$702.60	$702.60	$702.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $555.04 / $702.60 / $702.60	Professional		$555.04	$702.60	$702.60