Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.07 / $696.07 / $809.22	Facility		$696.07	$696.07	$809.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.08 / $656.35 / $928.32	Professional		$414.08	$656.35	$928.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $1,405.58	Facility		$394.97	$394.97	$1,405.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.97 / $1,129.26 / $1,639.69	Professional		$394.97	$1,129.26	$1,639.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $113.16 / $119.11	Professional		$95.29	$113.16	$119.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $1,348.68 / $5,453.18	Facility		$140.55	$1,348.68	$5,453.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $621.51 / $1,576.67	Professional		$431.34	$621.51	$1,576.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.42 / $140.55 / $332.20	Facility		$123.42	$140.55	$332.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $154.22 / $332.20	Professional		$123.05	$154.22	$332.20
United Facility/Professional Professional Modifier Low / Median / High Price $548.04 / $616.23 / $1,576.67	Professional		$548.04	$616.23	$1,576.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $908.52 / $1,150.02 / $1,150.02	Professional		$908.52	$1,150.02	$1,150.02