Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.94 / $642.94 / $680.61	Facility		$642.94	$642.94	$680.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.69 / $496.48 / $830.91	Professional		$371.69	$496.48	$830.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $1,012.87	Facility		$576.88	$576.88	$1,012.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.88 / $1,072.88 / $1,341.09	Professional		$576.88	$1,072.88	$1,341.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.75 / $1,002.64 / $1,086.53	Professional		$874.75	$1,002.64	$1,086.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.44 / $1,093.00 / $4,308.97	Facility		$578.44	$1,093.00	$4,308.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.39 / $476.62 / $1,255.76	Professional		$412.39	$476.62	$1,255.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,009.90 / $1,012.87 / $1,255.76	Facility		$1,009.90	$1,012.87	$1,255.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $829.55 / $1,183.17 / $1,935.56	Professional		$829.55	$1,183.17	$1,935.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,322.59 / $1,322.59 / $2,149.21	Facility		$1,322.59	$1,322.59	$2,149.21
United Facility/Professional Professional Modifier Low / Median / High Price $408.71 / $459.37 / $1,202.93	Professional		$408.71	$459.37	$1,202.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $902.37 / $902.37 / $902.37	Facility		$902.37	$902.37	$902.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.87 / $902.37 / $902.37	Professional		$712.87	$902.37	$902.37