Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.59 / $520.59 / $524.61	Facility		$520.59	$520.59	$524.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.35 / $433.08 / $712.25	Professional		$316.35	$433.08	$712.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $830.45	Facility		$450.57	$450.57	$830.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $868.50 / $1,085.63	Professional		$450.57	$868.50	$1,085.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $790.82 / $854.46	Professional		$705.00	$790.82	$854.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $958.73 / $3,794.31	Facility		$474.26	$958.73	$3,794.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.53 / $406.42 / $1,031.49	Professional		$356.53	$406.42	$1,031.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $828.03 / $830.45 / $1,095.43	Facility		$828.03	$830.45	$1,095.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $680.15 / $970.08 / $1,586.96	Professional		$680.15	$970.08	$1,586.96
United Facility/Professional Professional Modifier Low / Median / High Price $356.53 / $376.64 / $974.01	Professional		$356.53	$376.64	$974.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $717.20 / $717.20 / $717.20	Facility		$717.20	$717.20	$717.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $566.59 / $717.20 / $717.20	Professional		$566.59	$717.20	$717.20