Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $387.81 / $387.81	Facility		$310.97	$387.81	$387.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $245.26 / $387.81	Professional		$170.12	$245.26	$387.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $574.71	Facility		$299.52	$299.52	$574.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $536.63 / $670.78	Professional		$299.52	$536.63	$670.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $439.85 / $511.88 / $568.76	Professional		$439.85	$511.88	$568.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.18 / $653.39 / $2,143.81	Facility		$333.18	$653.39	$2,143.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $296.74 / $684.72	Professional		$241.00	$296.74	$684.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $573.02 / $574.71 / $688.78	Facility		$573.02	$574.71	$688.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $462.95 / $620.38 / $1,098.25	Professional		$462.95	$620.38	$1,098.25
United Facility/Professional Facility Modifier Low / Median / High Price $653.39 / $653.39 / $1,061.76	Facility		$653.39	$653.39	$1,061.76
United Facility/Professional Professional Modifier Low / Median / High Price $235.46 / $263.33 / $601.90	Professional		$235.46	$263.33	$601.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $512.01 / $512.01 / $512.01	Facility		$512.01	$512.01	$512.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $404.49 / $512.01 / $512.01	Professional		$404.49	$512.01	$512.01