Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.61 / $647.16 / $647.16	Facility		$421.61	$647.16	$647.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.90 / $377.28 / $535.79	Professional		$254.90	$377.28	$535.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $668.13	Facility		$499.82	$499.82	$668.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.82 / $895.88 / $1,119.83	Professional		$499.82	$895.88	$1,119.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.10 / $772.66 / $1,295.61	Professional		$589.10	$772.66	$1,295.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.34 / $789.61 / $3,076.44	Facility		$387.34	$789.61	$3,076.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $388.00 / $829.87	Professional		$290.38	$388.00	$829.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $666.17 / $668.13 / $880.34	Facility		$666.17	$668.13	$880.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $547.21 / $789.61 / $1,276.78	Professional		$547.21	$789.61	$1,276.78
United Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $286.52 / $435.59	Facility		$0.46	$286.52	$435.59
United Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $313.12 / $796.03	Professional		$290.38	$313.12	$796.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $595.24 / $595.24 / $595.24	Facility		$595.24	$595.24	$595.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $470.24 / $595.24 / $595.24	Professional		$470.24	$595.24	$595.24