Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.67 / $472.75 / $472.75	Facility		$350.67	$472.75	$472.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $289.50 / $427.70	Professional		$200.79	$289.50	$427.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $602.78	Facility		$365.10	$365.10	$602.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.10 / $654.38 / $817.97	Professional		$365.10	$654.38	$817.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.00 / $640.78 / $1,422.37	Professional		$482.00	$640.78	$1,422.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.46 / $712.37 / $2,633.25	Facility		$349.46	$712.37	$2,633.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.98 / $335.91 / $748.71	Professional		$261.98	$335.91	$748.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $601.02 / $602.78 / $732.23	Facility		$601.02	$602.78	$732.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $704.13 / $1,151.92	Professional		$493.69	$704.13	$1,151.92
United Facility/Professional Professional Modifier Low / Median / High Price $261.98 / $277.91 / $644.82	Professional		$261.98	$277.91	$644.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $537.02	Facility		$537.02	$537.02	$537.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $424.25 / $537.02 / $537.02	Professional		$424.25	$537.02	$537.02