Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $363.08 / $389.05	Facility		$346.74	$363.08	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $398.11	Professional		$199.53	$239.88	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $524.81	Facility		$295.12	$295.12	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $676.08	Professional		$295.12	$549.54	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $616.60	Professional		$446.68	$512.86	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $2,187.76	Facility		$316.23	$602.56	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $776.25	Professional		$223.87	$316.23	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $630.96	Professional		$512.86	$537.03	$630.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $776.25	Professional		$478.63	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $691.83	Facility		$208.93	$346.74	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $426.58	Professional		$213.80	$239.88	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $457.09	Professional		$363.08	$457.09	$457.09