Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.19 / $528.19 / $678.48	Facility		$528.19	$528.19	$678.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $507.34 / $729.41	Professional		$372.49	$507.34	$729.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $545.00 / $682.85	Facility		$545.00	$545.00	$682.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $866.25 / $1,082.81	Professional		$545.00	$866.25	$1,082.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $222.86 / $1,313.33	Professional		$89.31	$222.86	$1,313.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $949.74 / $3,720.55	Facility		$129.13	$949.74	$3,720.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.07 / $558.67 / $1,271.01	Professional		$430.07	$558.67	$1,271.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $129.13 / $305.24	Facility		$116.49	$129.13	$305.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $144.07 / $305.24	Professional		$115.72	$144.07	$305.24
United Facility/Professional Professional Modifier Low / Median / High Price $431.49 / $555.02 / $1,181.71	Professional		$431.49	$555.02	$1,181.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,056.59 / $1,056.59 / $1,056.59	Facility		$1,056.59	$1,056.59	$1,056.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.71 / $1,056.59 / $1,056.59	Professional		$834.71	$1,056.59	$1,056.59