Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.78 / $490.78 / $568.40	Facility		$490.78	$490.78	$568.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $351.91 / $492.55	Professional		$244.09	$351.91	$492.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $644.53	Facility		$379.03	$379.03	$644.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $679.13 / $848.91	Professional		$547.98	$679.13	$848.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.29 / $637.96 / $765.82	Professional		$568.29	$637.96	$765.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $772.48 / $3,128.86	Facility		$373.67	$772.48	$3,128.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $389.76 / $800.57	Professional		$289.70	$389.76	$800.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $642.65 / $644.53 / $890.13	Facility		$642.65	$644.53	$890.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $752.91 / $1,231.67	Professional		$572.00	$752.91	$1,231.67
United Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $347.72 / $761.72	Professional		$289.70	$347.72	$761.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $574.22 / $574.22 / $574.22	Facility		$574.22	$574.22	$574.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $453.63 / $574.22 / $574.22	Professional		$453.63	$574.22	$574.22