Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $467.74	Facility		$323.59	$323.59	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $363.08	Professional		$177.83	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $467.74	Facility		$363.08	$363.08	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $812.83	Professional		$363.08	$645.65	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $562.34	Professional		$398.11	$512.86	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $2,290.87	Facility		$288.40	$549.54	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $794.33	Professional		$208.93	$309.03	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $630.96	Professional		$457.09	$478.63	$630.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $707.95	Professional		$478.63	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $676.08	Facility		$208.93	$323.59	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $398.11	Professional		$208.93	$223.87	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $407.38	Professional		$323.59	$407.38	$407.38