Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.43 / $534.67 / $534.67	Facility		$464.43	$534.67	$534.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $383.39 / $613.11	Professional		$287.64	$383.39	$613.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $702.19	Facility		$412.94	$412.94	$702.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $739.88 / $924.84	Professional		$412.94	$739.88	$924.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.12 / $994.54 / $1,193.84	Professional		$619.12	$994.54	$1,193.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.09 / $829.86 / $3,399.27	Facility		$407.09	$829.86	$3,399.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.62 / $424.62 / $872.18	Professional		$315.62	$424.62	$872.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $702.19 / $712.07 / $969.75	Facility		$702.19	$712.07	$969.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $829.86 / $1,341.87	Professional		$575.09	$829.86	$1,341.87
United Facility/Professional Professional Modifier Low / Median / High Price $315.62 / $329.08 / $751.10	Professional		$315.62	$329.08	$751.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $625.58 / $625.58 / $625.58	Facility		$625.58	$625.58	$625.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $625.58 / $625.58	Professional		$494.21	$625.58	$625.58