Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.80 / $337.80 / $391.21	Facility		$337.80	$337.80	$391.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $242.22 / $452.02	Professional		$180.10	$242.22	$452.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $587.07	Facility		$260.88	$260.88	$587.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $467.63 / $587.07	Professional		$260.88	$467.63	$587.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $403.29 / $517.58 / $568.76	Professional		$403.29	$517.58	$568.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $340.35 / $645.26 / $2,277.66	Facility		$340.35	$645.26	$2,277.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $301.80 / $699.44	Professional		$239.33	$301.80	$699.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $585.35 / $587.07 / $703.61	Facility		$585.35	$587.07	$703.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $462.94 / $653.96 / $1,121.83	Professional		$462.94	$653.96	$1,121.83
United Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $266.25 / $524.28	Professional		$232.53	$266.25	$524.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $523.03 / $523.03 / $523.03	Facility		$523.03	$523.03	$523.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $413.19 / $523.03 / $523.03	Professional		$413.19	$523.03	$523.03