Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $440.77 / $443.21	Facility		$440.77	$440.77	$443.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.92 / $301.52 / $453.86	Professional		$224.92	$301.52	$453.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $629.24	Facility		$340.42	$340.42	$629.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.42 / $610.13 / $762.66	Professional		$340.42	$610.13	$762.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.23 / $572.04 / $648.65	Professional		$526.23	$572.04	$648.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.79 / $743.65 / $2,588.55	Facility		$364.79	$743.65	$2,588.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $349.87 / $765.71	Professional		$273.47	$349.87	$765.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $627.40 / $629.24 / $762.65	Facility		$627.40	$629.24	$762.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $519.28 / $735.03 / $1,202.46	Professional		$519.28	$735.03	$1,202.46
United Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $294.89 / $673.04	Professional		$272.66	$294.89	$673.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $560.60 / $560.60 / $560.60	Facility		$560.60	$560.60	$560.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $442.87 / $560.60 / $560.60	Professional		$442.87	$560.60	$560.60