Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.16 / $536.16 / $727.20	Facility		$536.16	$536.16	$727.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $463.46 / $857.20	Professional		$343.37	$463.46	$857.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $848.82	Facility		$499.17	$499.17	$848.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.17 / $894.75 / $1,118.44	Professional		$499.17	$894.75	$1,118.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $733.07 / $1,504.51 / $1,625.58	Professional		$733.07	$1,504.51	$1,625.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.75 / $991.53 / $4,299.75	Facility		$484.75	$991.53	$4,299.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $434.93 / $1,054.31	Professional		$368.90	$434.93	$1,054.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $848.82 / $860.76 / $1,192.61	Facility		$848.82	$860.76	$1,192.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $1,003.15 / $1,622.07	Professional		$806.83	$1,003.15	$1,622.07
United Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $384.97 / $907.96	Professional		$368.90	$384.97	$907.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $756.22 / $756.22 / $756.22	Facility		$756.22	$756.22	$756.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $756.22 / $756.22	Professional		$597.41	$756.22	$756.22