Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $446.68	Facility		$436.52	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $457.09	Professional		$229.09	$281.84	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $645.65	Facility		$338.84	$338.84	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $616.60 / $758.58	Professional		$338.84	$616.60	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $645.65	Professional		$489.78	$575.44	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $2,570.40	Facility		$389.05	$741.31	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $954.99	Professional		$269.15	$380.19	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $758.58	Professional		$630.96	$660.69	$758.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $954.99	Professional		$575.44	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $812.83	Facility		$239.88	$389.05	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $524.81	Professional		$263.03	$288.40	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $562.34	Professional		$446.68	$562.34	$562.34