Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.85 / $478.21 / $478.21	Facility		$427.85	$478.21	$478.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $293.69 / $461.09	Professional		$204.69	$293.69	$461.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $649.86	Facility		$305.54	$305.54	$649.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.54 / $661.88 / $827.34	Professional		$305.54	$661.88	$827.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.16 / $590.78 / $660.80	Professional		$502.16	$590.78	$660.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.75 / $759.12 / $2,506.23	Facility		$376.75	$759.12	$2,506.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $359.41 / $774.26	Professional		$275.33	$359.41	$774.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $647.95 / $649.86 / $778.86	Facility		$647.95	$649.86	$778.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $523.48 / $742.85 / $1,241.86	Professional		$523.48	$742.85	$1,241.86
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $272.50 / $322.37 / $774.26	Professional		$272.50	$322.37	$774.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $578.96 / $578.96 / $578.96	Facility		$578.96	$578.96	$578.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.38 / $578.96 / $578.96	Professional		$457.38	$578.96	$578.96