Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $275.42	Facility		$269.15	$269.15	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $758.58	Professional		$251.19	$295.12	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,096.48	Facility		$1,023.29	$1,071.52	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $912.01	Professional		$691.83	$724.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $1,230.27	Professional		$154.88	$407.38	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $758.58 / $1,445.44	Facility		$338.84	$758.58	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $1,023.29	Professional		$234.42	$416.87	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $794.33	Professional		$467.74	$645.65	$794.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $794.33	Professional		$707.95	$707.95	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,698.24	Facility		$707.95	$1,258.93	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $724.44	Professional		$257.04	$363.08	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $602.56	Professional		$407.38	$512.86	$602.56