Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Facility		$316.23	$316.23	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $346.74	Professional		$173.78	$257.04	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $776.25	Professional		$263.03	$630.96	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $645.65	Professional		$389.05	$537.03	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $2,089.30	Facility		$275.42	$446.68	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $776.25	Professional		$199.53	$302.00	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $616.60	Professional		$446.68	$457.09	$616.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $676.08	Professional		$467.74	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $338.84	Facility		$165.96	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $389.05	Professional		$199.53	$218.78	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $398.11	Professional		$316.23	$398.11	$398.11