Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $533.41 / $613.52	Facility		$533.41	$533.41	$613.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.29 / $382.49 / $535.33	Professional		$265.29	$382.49	$535.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $700.52	Facility		$397.94	$397.94	$700.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.94 / $738.38 / $922.97	Professional		$397.94	$738.38	$922.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.64 / $693.01 / $831.90	Professional		$617.64	$693.01	$831.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.13 / $840.01 / $3,385.23	Facility		$406.13	$840.01	$3,385.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.88 / $423.62 / $870.11	Professional		$314.88	$423.62	$870.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $698.49 / $700.52 / $967.46	Facility		$698.49	$700.52	$967.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $818.32 / $1,338.68	Professional		$622.00	$818.32	$1,338.68
United Facility/Professional Professional Modifier Low / Median / High Price $314.88 / $387.42 / $834.63	Professional		$314.88	$387.42	$834.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $624.10 / $624.10 / $624.10	Facility		$624.10	$624.10	$624.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $493.04 / $624.10 / $624.10	Professional		$493.04	$624.10	$624.10