Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.59 / $641.78 / $641.78	Facility		$462.59	$641.78	$641.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $381.88 / $602.54	Professional		$286.66	$381.88	$602.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $735.58	Facility		$528.47	$528.47	$735.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.47 / $888.38 / $1,110.47	Professional		$528.47	$888.38	$1,110.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $648.58 / $766.21 / $899.16	Professional		$648.58	$766.21	$899.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.45 / $869.32 / $3,410.50	Facility		$426.45	$869.32	$3,410.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.69 / $427.17 / $913.67	Professional		$319.69	$427.17	$913.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $733.43 / $735.58 / $965.91	Facility		$733.43	$735.58	$965.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.46 / $860.10 / $1,405.71	Professional		$602.46	$860.10	$1,405.71
United Facility/Professional Professional Modifier Low / Median / High Price $319.69 / $419.17 / $876.41	Professional		$319.69	$419.17	$876.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $655.34 / $655.34 / $655.34	Facility		$655.34	$655.34	$655.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $517.72 / $655.34 / $655.34	Professional		$517.72	$655.34	$655.34