Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.69 / $522.32 / $522.32	Facility		$453.69	$522.32	$522.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $374.53 / $649.32	Professional		$278.48	$374.53	$649.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $685.96	Facility		$389.66	$389.66	$685.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.66 / $723.00 / $903.75	Professional		$389.66	$723.00	$903.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $678.27 / $814.20	Professional		$604.79	$678.27	$814.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.68 / $822.12 / $3,225.13	Facility		$397.68	$822.12	$3,225.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $414.80 / $852.00	Professional		$308.33	$414.80	$852.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $683.95 / $685.96 / $947.34	Facility		$683.95	$685.96	$947.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $810.68 / $1,310.84	Professional		$561.79	$810.68	$1,310.84
United Facility/Professional Professional Modifier Low / Median / High Price $308.33 / $321.47 / $733.75	Professional		$308.33	$321.47	$733.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $611.13 / $611.13 / $611.13	Facility		$611.13	$611.13	$611.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $482.79 / $611.13 / $611.13	Professional		$482.79	$611.13	$611.13