Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.28 / $456.04 / $456.04	Facility		$401.28	$456.04	$456.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $292.20 / $460.17	Professional		$228.04	$292.20	$460.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $595.97	Facility		$388.32	$388.32	$595.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.32 / $631.13 / $788.91	Professional		$388.32	$631.13	$788.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.35 / $531.00 / $544.46	Professional		$442.35	$531.00	$544.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.51 / $714.63 / $2,338.92	Facility		$345.51	$714.63	$2,338.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.01 / $339.05 / $740.25	Professional		$259.01	$339.05	$740.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $594.22 / $595.97 / $739.08	Facility		$594.22	$595.97	$739.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $696.17 / $1,138.88	Professional		$488.10	$696.17	$1,138.88
United Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $287.50 / $707.80	Professional		$258.24	$287.50	$707.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $541.79 / $541.79 / $541.79	Facility		$541.79	$541.79	$541.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.01 / $541.79 / $541.79	Professional		$428.01	$541.79	$541.79