Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $630.96	Facility		$446.68	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $602.56	Professional		$263.03	$354.81	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $912.01	Facility		$457.09	$457.09	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,023.29	Professional		$457.09	$812.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $870.96	Professional		$645.65	$812.83	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $3,235.94	Facility		$549.54	$933.25	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,348.96	Professional		$371.54	$467.74	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,047.13	Professional		$891.25	$933.25	$1,047.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $1,348.96	Professional		$707.95	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $1,000.00	Facility		$302.00	$489.78	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $707.95	Professional		$346.74	$407.38	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $794.33	Professional		$630.96	$794.33	$794.33