Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.57 / $403.85 / $403.85	Facility		$316.57	$403.85	$403.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $261.33 / $381.01	Professional		$181.26	$261.33	$381.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $481.49	Facility		$274.54	$274.54	$481.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.89 / $559.13 / $698.91	Professional		$450.89	$559.13	$698.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.53 / $511.81 / $703.85	Professional		$424.53	$511.81	$703.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.14 / $577.37 / $2,359.33	Facility		$279.14	$577.37	$2,359.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $289.43 / $598.04	Professional		$216.42	$289.43	$598.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.08 / $481.49 / $661.02	Facility		$480.08	$481.49	$661.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $394.33 / $569.04 / $920.10	Professional		$394.33	$569.04	$920.10
United Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $225.65 / $514.95	Professional		$216.42	$225.65	$514.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $428.97 / $428.97 / $428.97	Facility		$428.97	$428.97	$428.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $428.97 / $428.97	Professional		$338.89	$428.97	$428.97