Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.14 / $510.32 / $510.32	Facility		$448.14	$510.32	$510.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $326.89 / $514.92	Professional		$255.18	$326.89	$514.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $666.90	Facility		$401.27	$401.27	$666.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $706.50 / $883.13	Professional		$401.27	$706.50	$883.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.29 / $565.75 / $609.27	Professional		$471.29	$565.75	$609.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.63 / $788.15 / $2,837.20	Facility		$386.63	$788.15	$2,837.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $379.31 / $828.34	Professional		$289.83	$379.31	$828.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $664.95 / $666.90 / $826.85	Facility		$664.95	$666.90	$826.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.19 / $779.03 / $1,274.40	Professional		$546.19	$779.03	$1,274.40
United Facility/Professional Professional Modifier Low / Median / High Price $288.98 / $313.82 / $713.32	Professional		$288.98	$313.82	$713.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $594.14 / $594.14 / $594.14	Facility		$594.14	$594.14	$594.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $594.14 / $594.14	Professional		$469.37	$594.14	$594.14