Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.30 / $364.30 / $391.35	Facility		$364.30	$364.30	$391.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $261.22 / $365.62	Professional		$181.18	$261.22	$365.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $478.43	Facility		$271.77	$271.77	$478.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $504.38 / $630.47	Professional		$271.77	$504.38	$630.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.83 / $473.80 / $568.76	Professional		$421.83	$473.80	$568.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.37 / $573.40 / $2,350.53	Facility		$277.37	$573.40	$2,350.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $289.31 / $594.25	Professional		$215.05	$289.31	$594.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $478.43 / $660.74	Facility		$477.04	$478.43	$660.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $558.87 / $914.26	Professional		$425.00	$558.87	$914.26
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $250.78 / $565.41	Professional		$215.05	$250.78	$565.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $426.24 / $426.24 / $426.24	Facility		$426.24	$426.24	$426.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.73 / $426.24 / $426.24	Professional		$336.73	$426.24	$426.24