Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.30 / $438.30 / $507.61	Facility		$438.30	$438.30	$507.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $314.27 / $439.87	Professional		$217.99	$314.27	$439.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $575.61	Facility		$338.50	$338.50	$575.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.50 / $606.75 / $758.44	Professional		$338.50	$606.75	$758.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.51 / $582.21 / $698.89	Professional		$507.51	$582.21	$698.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.71 / $689.88 / $2,725.44	Facility		$333.71	$689.88	$2,725.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.73 / $348.08 / $714.96	Professional		$258.73	$348.08	$714.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $573.92 / $575.61 / $794.94	Facility		$573.92	$575.61	$794.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $672.39 / $1,099.98	Professional		$511.00	$672.39	$1,099.98
United Facility/Professional Professional Modifier Low / Median / High Price $258.73 / $310.52 / $685.80	Professional		$258.73	$310.52	$685.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility		$512.80	$512.80	$512.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $405.12 / $512.80 / $512.80	Professional		$405.12	$512.80	$512.80