Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.37 / $675.28 / $675.28	Facility		$498.37	$675.28	$675.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $402.53 / $657.60	Professional		$312.85	$402.53	$657.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $844.40	Facility		$418.79	$418.79	$844.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $934.50 / $1,168.13	Professional		$418.79	$934.50	$1,168.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $696.20 / $806.21	Professional		$579.97	$696.20	$806.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.54 / $997.93 / $3,451.92	Facility		$489.54	$997.93	$3,451.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $467.07 / $1,048.81	Professional		$366.98	$467.07	$1,048.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $841.94 / $844.40 / $1,018.14	Facility		$841.94	$844.40	$1,018.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.57 / $986.38 / $1,613.63	Professional		$691.57	$986.38	$1,613.63
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $377.37 / $386.42 / $1,006.04	Professional		$377.37	$386.42	$1,006.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $752.29 / $752.29 / $752.29	Facility		$752.29	$752.29	$752.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $594.30 / $752.29 / $752.29	Professional		$594.30	$752.29	$752.29