Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.38 / $675.19 / $675.19	Facility		$595.38	$675.19	$675.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.09 / $499.46 / $849.89	Professional		$338.09	$499.46	$849.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $973.96	Facility		$511.34	$511.34	$973.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.34 / $1,126.50 / $1,408.13	Professional		$511.34	$1,126.50	$1,408.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $825.99 / $1,022.67 / $1,108.23	Professional		$825.99	$1,022.67	$1,108.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.22 / $1,137.73 / $4,380.81	Facility		$556.22	$1,137.73	$4,380.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $469.85 / $1,209.76	Professional		$408.26	$469.85	$1,209.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.12 / $973.96 / $1,243.17	Facility		$971.12	$973.96	$1,243.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $797.69 / $1,151.05 / $1,861.25	Professional		$797.69	$1,151.05	$1,861.25
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $404.62 / $462.96	Facility		$0.65	$404.62	$462.96
United Facility/Professional Professional Modifier Low / Median / High Price $404.62 / $441.73 / $1,041.84	Professional		$404.62	$441.73	$1,041.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $867.71 / $867.71 / $867.71	Facility		$867.71	$867.71	$867.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $685.49 / $867.71 / $867.71	Professional		$685.49	$867.71	$867.71