Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.57 / $550.80 / $550.80	Facility		$522.57	$550.80	$550.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $431.39 / $738.16	Professional		$295.60	$431.39	$738.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $847.18	Facility		$512.80	$512.80	$847.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.80 / $919.13 / $1,148.91	Professional		$512.80	$919.13	$1,148.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $731.65 / $900.55 / $1,003.94	Professional		$731.65	$900.55	$1,003.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $936.38 / $3,769.74	Facility		$483.81	$936.38	$3,769.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $408.69 / $1,052.27	Professional		$355.25	$408.69	$1,052.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $844.70 / $847.18 / $1,091.15	Facility		$844.70	$847.18	$1,091.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $693.84 / $990.90 / $1,618.96	Professional		$693.84	$990.90	$1,618.96
United Facility/Professional Professional Modifier Low / Median / High Price $355.13 / $386.53 / $988.04	Professional		$355.13	$386.53	$988.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $754.76 / $754.76 / $754.76	Facility		$754.76	$754.76	$754.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $596.26 / $754.76 / $754.76	Professional		$596.26	$754.76	$754.76