Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.57 / $361.57 / $370.60	Facility		$361.57	$361.57	$370.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $259.27 / $381.88	Professional		$186.99	$259.27	$381.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $538.22	Facility		$279.26	$279.26	$538.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $500.63 / $625.78	Professional		$279.26	$500.63	$625.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $491.13 / $601.79	Professional		$431.68	$491.13	$601.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $628.71 / $2,318.80	Facility		$312.02	$628.71	$2,318.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.91 / $300.83 / $641.26	Professional		$233.91	$300.83	$641.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $536.64 / $538.22 / $655.78	Facility		$536.64	$538.22	$655.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $628.71 / $1,028.52	Professional		$440.80	$628.71	$1,028.52
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $233.91 / $277.88 / $561.17	Professional		$233.91	$277.88	$561.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $479.50 / $479.50 / $479.50	Facility		$479.50	$479.50	$479.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.81 / $479.50 / $479.50	Professional		$378.81	$479.50	$479.50