Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.64 / $408.78 / $408.78	Facility		$320.64	$408.78	$408.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $264.70 / $394.82	Professional		$187.83	$264.70	$394.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $514.05	Facility		$315.70	$315.70	$514.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $565.88 / $707.34	Professional		$315.70	$565.88	$707.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.90 / $500.76 / $613.60	Professional		$450.90	$500.76	$613.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $607.53 / $2,274.39	Facility		$298.02	$607.53	$2,274.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $298.50 / $638.50	Professional		$223.40	$298.50	$638.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.54 / $514.05 / $669.50	Facility		$512.54	$514.05	$669.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $607.53 / $982.34	Professional		$421.00	$607.53	$982.34
United Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $248.15 / $612.46	Professional		$223.40	$248.15	$612.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $457.98 / $457.98	Facility		$457.98	$457.98	$457.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $457.98 / $457.98	Professional		$361.80	$457.98	$457.98