Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.02 / $575.10 / $575.10	Facility		$472.02	$575.10	$575.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.43 / $350.97 / $511.68	Professional		$243.43	$350.97	$511.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $642.79	Facility		$483.85	$483.85	$642.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.85 / $796.13 / $995.16	Professional		$483.85	$796.13	$995.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $566.74 / $686.60 / $1,137.75	Professional		$566.74	$686.60	$1,137.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.65 / $770.39 / $3,115.48	Facility		$372.65	$770.39	$3,115.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.92 / $388.70 / $798.40	Professional		$288.92	$388.70	$798.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $640.90 / $642.79 / $887.72	Facility		$640.90	$642.79	$887.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.03 / $759.66 / $1,228.33	Professional		$553.03	$759.66	$1,228.33
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $288.92 / $331.88 / $765.84	Professional		$288.92	$331.88	$765.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $572.66 / $572.66 / $572.66	Facility		$572.66	$572.66	$572.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $572.66 / $572.66	Professional		$452.40	$572.66	$572.66