Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.61 / $673.10 / $673.10	Facility		$528.61	$673.10	$673.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $465.12 / $758.87	Professional		$299.01	$465.12	$758.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $814.44	Facility		$454.00	$454.00	$814.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $1,123.13 / $1,403.91	Professional		$454.00	$1,123.13	$1,403.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $704.73 / $957.95 / $1,015.12	Professional		$704.73	$957.95	$1,015.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.12 / $951.39 / $3,888.75	Facility		$465.12	$951.39	$3,888.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.96 / $409.51 / $1,011.62	Professional		$353.96	$409.51	$1,011.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $814.44 / $825.92 / $1,103.75	Facility		$814.44	$825.92	$1,103.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $667.04 / $962.52 / $1,556.41	Professional		$667.04	$962.52	$1,556.41
United Facility/Professional Professional Modifier Low / Median / High Price $353.96 / $369.38 / $871.25	Professional		$353.96	$369.38	$871.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $725.59 / $725.59 / $725.59	Facility		$725.59	$725.59	$725.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $573.22 / $725.59 / $725.59	Professional		$573.22	$725.59	$725.59