Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.34 / $639.09 / $639.09	Facility		$416.34	$639.09	$639.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.39 / $372.57 / $501.09	Professional		$238.39	$372.57	$501.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $643.72	Facility		$493.58	$493.58	$643.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $884.63 / $1,105.78	Professional		$493.58	$884.63	$1,105.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.58 / $760.44 / $805.50	Professional		$567.58	$760.44	$805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.19 / $760.89 / $3,080.66	Facility		$373.19	$760.89	$3,080.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $380.66 / $799.55	Professional		$285.49	$380.66	$799.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $641.83 / $643.72 / $869.35	Facility		$641.83	$643.72	$869.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $527.22 / $760.76 / $1,230.13	Professional		$527.22	$760.76	$1,230.13
United Facility/Professional Facility Modifier Low / Median / High Price $915.61 / $915.61 / $1,487.87	Facility		$915.61	$915.61	$1,487.87
United Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $332.38 / $763.01	Professional		$285.49	$332.38	$763.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $573.50 / $573.50 / $573.50	Facility		$573.50	$573.50	$573.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $453.07 / $573.50 / $573.50	Professional		$453.07	$573.50	$573.50