Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $660.69	Facility		$478.63	$478.63	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $676.08	Professional		$316.23	$478.63	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $851.14	Facility		$549.54	$549.54	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,380.38	Professional		$549.54	$1,096.48	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $954.99	Professional		$724.44	$912.01	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $977.24 / $4,168.69	Facility		$524.81	$977.24	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,380.38	Professional		$363.08	$489.78	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,174.90	Professional		$831.76	$870.96	$1,174.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,288.25	Professional		$870.96	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,258.93	Facility		$295.12	$562.34	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $724.44	Professional		$363.08	$380.19	$724.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $758.58	Professional		$588.84	$758.58	$758.58