Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.25 / $591.25 / $1,281.97	Facility		$591.25	$591.25	$1,281.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $591.25 / $1,296.08	Professional		$579.97	$591.25	$1,296.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.92 / $590.92 / $590.92	Facility		$590.92	$590.92	$590.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.29 / $575.29 / $719.11	Professional		$575.29	$575.29	$719.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.98 / $579.97 / $1,511.86	Professional		$463.98	$579.97	$1,511.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.99 / $591.25 / $732.03	Facility		$579.99	$591.25	$732.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.99 / $579.99 / $844.65	Professional		$492.99	$579.99	$844.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $620.42 / $844.65 / $1,132.58	Facility		$620.42	$844.65	$1,132.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $383.65 / $648.30 / $926.71	Professional		$383.65	$648.30	$926.71
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $591.57	Professional		$579.97	$579.97	$591.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $579.99 / $579.99 / $579.99	Facility		$579.99	$579.99	$579.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $579.99 / $579.99 / $579.99	Professional		$579.99	$579.99	$579.99