Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $512.86	Facility		$346.74	$436.52	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $436.52	Professional		$204.17	$302.00	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $630.96	Facility		$302.00	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $707.95 / $891.25	Professional		$302.00	$707.95	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $954.99	Professional		$478.63	$794.33	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $2,691.53	Facility		$389.05	$724.44	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $954.99	Professional		$269.15	$363.08	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $741.31	Professional		$616.60	$645.65	$741.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $954.99	Professional		$549.54	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $776.25	Facility		$234.42	$371.54	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $512.86	Professional		$269.15	$281.84	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $549.54	Professional		$436.52	$549.54	$549.54