Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Facility		$426.58	$426.58	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $616.60	Professional		$288.40	$380.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $758.58	Facility		$407.38	$407.38	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $851.14 / $1,071.52	Professional		$407.38	$851.14	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $758.58	Professional		$630.96	$707.95	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $3,467.37	Facility		$467.74	$870.96	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,122.02	Professional		$323.59	$436.52	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,000.00	Professional		$741.31	$776.25	$1,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $1,071.52	Facility		$251.19	$549.54	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $616.60	Professional		$316.23	$338.84	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $660.69	Professional		$524.81	$660.69	$660.69