Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $512.86	Facility		$380.19	$380.19	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $891.25	Professional		$363.08	$436.52	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,445.44	Facility		$1,348.96	$1,412.54	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,230.27	Professional		$524.81	$1,000.00	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $2,041.74	Professional		$407.38	$630.96	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $2,511.89	Facility		$380.19	$676.08	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $2,344.23	Professional		$457.09	$758.58	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,318.26	Professional		$562.34	$851.14	$1,318.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,318.26	Professional		$524.81	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $741.31	Facility		$316.23	$549.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,380.38	Professional		$457.09	$616.60	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48