Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.89 / $544.89 / $652.75	Facility		$544.89	$544.89	$652.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $485.86 / $752.46	Professional		$363.15	$485.86	$752.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $559.40 / $682.85	Facility		$559.40	$559.40	$682.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $866.25 / $1,082.81	Professional		$66.19	$866.25	$1,082.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $205.59 / $1,211.88	Professional		$86.49	$205.59	$1,211.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $926.31 / $3,720.55	Facility		$122.63	$926.31	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.88 / $476.26 / $1,089.20	Professional		$396.88	$476.26	$1,089.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.63 / $122.63 / $289.85	Facility		$122.63	$122.63	$289.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $151.75 / $289.85	Professional		$121.83	$151.75	$289.85
United Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $448.13 / $1,089.20	Professional		$397.15	$448.13	$1,089.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,003.32 / $1,003.32 / $1,003.32	Facility		$1,003.32	$1,003.32	$1,003.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $792.62 / $1,003.32 / $1,003.32	Professional		$792.62	$1,003.32	$1,003.32