Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $559.63 / $559.63	Facility		$486.10	$559.63	$559.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $361.14 / $561.64	Professional		$278.33	$361.14	$561.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $734.94	Facility		$375.74	$375.74	$734.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.82 / $774.75 / $968.44	Professional		$624.82	$774.75	$968.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $585.85 / $668.13 / $703.26	Professional		$585.85	$668.13	$703.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.08 / $858.52 / $2,890.88	Facility		$426.08	$858.52	$2,890.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $419.05 / $912.86	Professional		$319.39	$419.05	$912.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $732.79 / $734.94 / $913.51	Facility		$732.79	$734.94	$913.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $858.52 / $1,404.46	Professional		$601.91	$858.52	$1,404.46
United Facility/Professional Professional Modifier Low / Median / High Price $308.18 / $344.43 / $868.57	Professional		$308.18	$344.43	$868.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $601.32 / $601.32 / $601.32	Facility		$601.32	$601.32	$601.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $475.04 / $601.32 / $601.32	Professional		$475.04	$601.32	$601.32