Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.06 / $500.06 / $579.15	Facility		$500.06	$500.06	$579.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $358.57 / $604.34	Professional		$266.61	$358.57	$604.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $875.63	Facility		$380.63	$380.63	$875.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $692.25 / $875.63	Professional		$380.63	$692.25	$875.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $765.30 / $810.64	Professional		$597.02	$765.30	$810.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $507.64 / $955.24 / $3,301.32	Facility		$507.64	$955.24	$3,301.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.29 / $448.66 / $1,043.26	Professional		$354.29	$448.66	$1,043.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $873.07 / $875.63 / $1,049.45	Facility		$873.07	$875.63	$1,049.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $685.32 / $942.98 / $1,673.29	Professional		$685.32	$942.98	$1,673.29
United Facility/Professional Professional Modifier Low / Median / High Price $344.23 / $397.13 / $776.13	Professional		$344.23	$397.13	$776.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $780.11 / $780.11 / $780.11	Facility		$780.11	$780.11	$780.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.29 / $780.11 / $780.11	Professional		$616.29	$780.11	$780.11