Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $562.34	Facility		$426.58	$501.19	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $512.86	Professional		$251.19	$346.74	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $707.95	Facility		$398.11	$398.11	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $954.99	Professional		$398.11	$776.25	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $776.25	Professional		$575.44	$660.69	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $3,162.28	Facility		$436.52	$812.83	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,071.52	Professional		$302.00	$446.68	$1,071.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $891.25	Professional		$691.83	$724.44	$891.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,071.52	Professional		$676.08	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $954.99	Facility		$295.12	$457.09	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $588.84	Professional		$295.12	$331.13	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $630.96	Professional		$489.78	$630.96	$630.96