Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.58 / $416.31 / $416.31	Facility		$365.58	$416.31	$416.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.17 / $266.68 / $420.06	Professional		$208.17	$266.68	$420.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $544.05	Facility		$321.50	$321.50	$544.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.82 / $576.38 / $720.47	Professional		$464.82	$576.38	$720.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $472.18 / $1,561.02 / $1,912.78	Professional		$472.18	$1,561.02	$1,912.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.42 / $635.54 / $2,314.59	Facility		$315.42	$635.54	$2,314.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $309.44 / $675.77	Professional		$236.45	$309.44	$675.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $542.47 / $544.05 / $674.53	Facility		$542.47	$544.05	$674.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $445.60 / $635.54 / $1,039.68	Professional		$445.60	$635.54	$1,039.68
United Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $256.01 / $581.95	Professional		$236.45	$256.01	$581.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $484.71 / $484.71 / $484.71	Facility		$484.71	$484.71	$484.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.92 / $484.71 / $484.71	Professional		$382.92	$484.71	$484.71