Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.62 / $652.33 / $652.33	Facility		$566.62	$652.33	$652.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $372.49 / $528.88	Professional		$251.61	$372.49	$528.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $642.52	Facility		$503.81	$503.81	$642.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.52 / $903.00 / $1,128.75	Professional		$642.52	$903.00	$1,128.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $566.51 / $666.17 / $778.81	Professional		$566.51	$666.17	$778.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.49 / $770.07 / $3,083.04	Facility		$372.49	$770.07	$3,083.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.81 / $388.54 / $798.07	Professional		$288.81	$388.54	$798.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $640.64 / $642.52 / $887.37	Facility		$640.64	$642.52	$887.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $581.76 / $757.02 / $1,227.84	Professional		$581.76	$757.02	$1,227.84
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $288.81 / $294.39 / $647.57	Professional		$288.81	$294.39	$647.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $572.42 / $572.42 / $572.42	Facility		$572.42	$572.42	$572.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $452.22 / $572.42 / $572.42	Professional		$452.22	$572.42	$572.42