Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.11 / $510.28 / $510.28	Facility		$485.11	$510.28	$510.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.19 / $392.85 / $628.09	Professional		$269.19	$392.85	$628.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $744.96	Facility		$408.71	$408.71	$744.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.71 / $851.25 / $1,064.06	Professional		$408.71	$851.25	$1,064.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.70 / $703.22 / $744.67	Professional		$639.70	$703.22	$744.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.44 / $869.32 / $3,443.36	Facility		$425.44	$869.32	$3,443.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $368.66 / $925.30	Professional		$323.41	$368.66	$925.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $742.79 / $744.96 / $993.66	Facility		$742.79	$744.96	$993.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.12 / $878.94 / $1,423.61	Professional		$610.12	$878.94	$1,423.61
United Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $337.87 / $685.54	Professional		$323.41	$337.87	$685.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $663.70 / $663.70 / $663.70	Facility		$663.70	$663.70	$663.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.32 / $663.70 / $663.70	Professional		$524.32	$663.70	$663.70