Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.03 / $539.03 / $685.74	Facility		$539.03	$539.03	$685.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.53 / $512.88 / $736.37	Professional		$376.53	$512.88	$736.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $682.85	Facility		$552.13	$552.13	$682.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.13 / $866.25 / $1,082.81	Professional		$552.13	$866.25	$1,082.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $228.64 / $1,347.50	Professional		$90.26	$228.64	$1,347.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.36 / $974.45 / $3,720.55	Facility		$131.36	$974.45	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.30 / $573.29 / $1,303.40	Professional		$441.30	$573.29	$1,303.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.38 / $131.36 / $310.49	Facility		$118.38	$131.36	$310.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $146.43 / $310.49	Professional		$117.61	$146.43	$310.49
United Facility/Professional Professional Modifier Low / Median / High Price $442.49 / $573.29 / $1,517.38	Professional		$442.49	$573.29	$1,517.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,074.78 / $1,074.78 / $1,074.78	Facility		$1,074.78	$1,074.78	$1,074.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $849.08 / $1,074.78 / $1,074.78	Professional		$849.08	$1,074.78	$1,074.78