Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $562.34	Facility		$489.78	$524.81	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $562.34	Professional		$288.40	$346.74	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $741.31	Facility		$436.52	$436.52	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $977.24	Professional		$436.52	$776.25	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $851.14	Professional		$630.96	$707.95	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $3,090.30	Facility		$457.09	$851.14	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,122.02	Professional		$316.23	$446.68	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $912.01	Professional		$724.44	$758.58	$912.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,122.02	Professional		$691.83	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $501.19 / $977.24	Facility		$295.12	$501.19	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $616.60	Professional		$309.03	$346.74	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $660.69	Professional		$512.86	$660.69	$660.69