Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,097.99	Facility		$567.88	$567.88	$1,097.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $567.88	Professional		$496.74	$496.74	$567.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.10 / $506.10 / $506.10	Facility		$506.10	$506.10	$506.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.06 / $509.18 / $632.58	Professional		$506.06	$509.18	$632.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.41 / $496.74 / $1,378.65	Professional		$346.41	$496.74	$1,378.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.50 / $567.88 / $764.89	Facility		$496.50	$567.88	$764.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.51 / $556.09 / $643.46	Professional		$496.51	$556.09	$643.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $593.96 / $742.46 / $1,163.18	Facility		$593.96	$742.46	$1,163.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $564.27 / $595.80 / $742.46	Professional		$564.27	$595.80	$742.46
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $521.58 / $556.35	Professional		$496.74	$521.58	$556.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $496.51 / $496.51 / $496.51	Facility		$496.51	$496.51	$496.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.51 / $496.51 / $496.51	Professional		$496.51	$496.51	$496.51