Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.38 / $440.22 / $440.22	Facility		$382.38	$440.22	$440.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.27 / $284.26 / $442.47	Professional		$219.27	$284.26	$442.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $578.14	Facility		$420.61	$420.61	$578.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.61 / $609.38 / $761.72	Professional		$420.61	$609.38	$761.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $509.73 / $683.31 / $820.25	Professional		$509.73	$683.31	$820.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.17 / $675.34 / $2,275.37	Facility		$335.17	$675.34	$2,275.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $329.84 / $718.09	Professional		$251.26	$329.84	$718.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $576.45 / $578.14 / $718.99	Facility		$576.45	$578.14	$718.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $675.34 / $1,104.81	Professional		$473.50	$675.34	$1,104.81
United Facility/Professional Professional Modifier Low / Median / High Price $242.43 / $278.89 / $683.25	Professional		$242.43	$278.89	$683.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $473.02 / $473.02 / $473.02	Facility		$473.02	$473.02	$473.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $373.69 / $473.02 / $473.02	Professional		$373.69	$473.02	$473.02