Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.96 / $606.82 / $606.82	Facility		$455.96	$606.82	$606.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $376.41 / $549.32	Professional		$261.33	$376.41	$549.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $755.89	Facility		$468.67	$468.67	$755.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $840.00 / $1,050.00	Professional		$468.67	$840.00	$1,050.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.33 / $745.98 / $914.08	Professional		$627.33	$745.98	$914.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.21 / $893.32 / $3,286.44	Facility		$438.21	$893.32	$3,286.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $436.76 / $938.86	Professional		$328.51	$436.76	$938.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $753.67 / $755.89 / $952.08	Facility		$753.67	$755.89	$952.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $619.05 / $882.97 / $1,444.45	Professional		$619.05	$882.97	$1,444.45
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $361.35 / $808.55	Professional		$328.51	$361.35	$808.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $673.43 / $673.43 / $673.43	Facility		$673.43	$673.43	$673.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $532.01 / $673.43 / $673.43	Professional		$532.01	$673.43	$673.43