Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.52 / $553.52 / $671.65	Facility		$553.52	$553.52	$671.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.77 / $501.15 / $735.15	Professional		$282.77	$501.15	$735.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.17 / $760.17 / $760.17	Facility		$760.17	$760.17	$760.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $1,068.75 / $1,335.94	Professional		$65.25	$1,068.75	$1,335.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $87.86 / $150.00	Professional		$87.86	$87.86	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $918.95 / $4,141.80	Facility		$57.47	$918.95	$4,141.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $388.47 / $1,008.58	Professional		$295.11	$388.47	$1,008.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.66 / $101.53 / $239.98	Facility		$97.66	$101.53	$239.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $123.05 / $777.47	Professional		$97.36	$123.05	$777.47
United Facility/Professional Professional Modifier Low / Median / High Price $338.35 / $364.08 / $875.56	Professional		$338.35	$364.08	$875.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Facility		$876.85	$876.85	$876.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $692.71 / $876.85 / $876.85	Professional		$692.71	$876.85	$876.85