Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $524.81	Facility		$436.52	$436.52	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $575.44	Professional		$281.84	$389.05	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $776.25	Facility		$407.38	$407.38	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $1,096.48	Professional		$407.38	$891.25	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $776.25	Professional		$645.65	$724.44	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $3,548.13	Facility		$467.74	$870.96	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,148.15	Professional		$323.59	$436.52	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $1,000.00	Professional		$758.58	$794.33	$1,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,148.15	Professional		$758.58	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $1,071.52	Facility		$251.19	$436.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $630.96	Professional		$323.59	$346.74	$630.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $676.08	Professional		$537.03	$676.08	$676.08