Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $354.81	Facility		$316.23	$316.23	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $363.08	Professional		$186.21	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $457.09	Facility		$275.42	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $616.60	Professional		$275.42	$489.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $616.60	Professional		$389.05	$512.86	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $2,041.74	Facility		$275.42	$524.81	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $676.08	Professional		$194.98	$295.12	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $588.84	Professional		$446.68	$467.74	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $676.08	Professional		$446.68	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $630.96	Facility		$194.98	$323.59	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $371.54	Professional		$194.98	$213.80	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $398.11	Professional		$316.23	$398.11	$398.11