Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.28 / $433.19 / $433.19	Facility		$376.28	$433.19	$433.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $310.62 / $441.86	Professional		$218.97	$310.62	$441.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $573.45	Facility		$364.44	$364.44	$573.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $599.63 / $749.53	Professional		$364.44	$599.63	$749.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $495.25 / $609.55 / $772.90	Professional		$495.25	$609.55	$772.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.45 / $677.72 / $2,756.24	Facility		$332.45	$677.72	$2,756.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $344.02 / $712.28	Professional		$257.76	$344.02	$712.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $571.78 / $573.45 / $785.66	Facility		$571.78	$573.45	$785.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $469.66 / $669.87 / $1,095.84	Professional		$469.66	$669.87	$1,095.84
United Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $298.19 / $672.33	Professional		$257.76	$298.19	$672.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $510.89 / $510.89 / $510.89	Facility		$510.89	$510.89	$510.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $403.60 / $510.89 / $510.89	Professional		$403.60	$510.89	$510.89