Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.28 / $565.75 / $565.75	Facility		$495.28	$565.75	$565.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $364.72 / $570.86	Professional		$282.89	$364.72	$570.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $738.58	Facility		$436.96	$436.96	$738.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.96 / $783.00 / $978.75	Professional		$436.96	$783.00	$978.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.49 / $675.45 / $764.05	Professional		$636.49	$675.45	$764.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.18 / $872.87 / $3,169.20	Facility		$428.18	$872.87	$3,169.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.99 / $423.20 / $917.37	Professional		$320.99	$423.20	$917.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $736.42 / $738.58 / $922.53	Facility		$736.42	$738.58	$922.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.90 / $862.76 / $1,411.39	Professional		$604.90	$862.76	$1,411.39
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $360.37 / $878.09	Professional		$309.70	$360.37	$878.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $658.01 / $658.01 / $658.01	Facility		$658.01	$658.01	$658.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $519.83 / $658.01 / $658.01	Professional		$519.83	$658.01	$658.01