Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $557.92 / $557.92	Facility		$430.55	$557.92	$557.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $355.43 / $518.19	Professional		$246.52	$355.43	$518.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $700.25	Facility		$400.78	$400.78	$700.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.78 / $772.13 / $965.16	Professional		$400.78	$772.13	$965.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.78 / $666.10 / $774.08	Professional		$591.78	$666.10	$774.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.97 / $827.57 / $3,128.35	Facility		$405.97	$827.57	$3,128.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $406.64 / $869.76	Professional		$304.33	$406.64	$869.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $698.20 / $700.25 / $899.01	Facility		$698.20	$700.25	$899.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $573.50 / $817.99 / $1,338.15	Professional		$573.50	$817.99	$1,338.15
United Facility/Professional Professional Modifier Low / Median / High Price $304.33 / $317.58 / $748.98	Professional		$304.33	$317.58	$748.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $623.86 / $623.86 / $623.86	Facility		$623.86	$623.86	$623.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $492.85 / $623.86 / $623.86	Professional		$492.85	$623.86	$623.86