Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.11 / $423.65 / $423.65	Facility		$404.11	$423.65	$423.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $251.53 / $382.40	Professional		$174.46	$251.53	$382.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $538.92	Facility		$327.20	$327.20	$538.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $586.50 / $733.13	Professional		$327.20	$586.50	$733.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $589.79 / $708.00	Professional		$465.44	$589.79	$708.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.45 / $636.19 / $2,220.15	Facility		$312.45	$636.19	$2,220.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $298.08 / $669.42	Professional		$234.23	$298.08	$669.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.37 / $538.92 / $645.91	Facility		$537.37	$538.92	$645.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $629.55 / $1,029.94	Professional		$469.00	$629.55	$1,029.94
United Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $276.08 / $314.79	Facility		$172.56	$276.08	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $234.23 / $252.58 / $642.13	Professional		$234.23	$252.58	$642.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $480.14 / $480.14 / $480.14	Facility		$480.14	$480.14	$480.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $379.31 / $480.14 / $480.14	Professional		$379.31	$480.14	$480.14