Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.76 / $570.16 / $570.16	Facility		$541.76	$570.16	$570.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.18 / $440.74 / $789.44	Professional		$309.18	$440.74	$789.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $852.10	Facility		$488.53	$488.53	$852.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.53 / $951.38 / $1,189.22	Professional		$488.53	$951.38	$1,189.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $735.91 / $875.30 / $946.13	Professional		$735.91	$875.30	$946.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.62 / $969.27 / $3,743.02	Facility		$486.62	$969.27	$3,743.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.77 / $419.73 / $1,058.39	Professional		$359.77	$419.73	$1,058.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.60 / $852.10 / $1,095.51	Facility		$849.60	$852.10	$1,095.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $697.88 / $995.37 / $1,628.34	Professional		$697.88	$995.37	$1,628.34
United Facility/Professional Professional Modifier Low / Median / High Price $359.77 / $386.46 / $911.38	Professional		$359.77	$386.46	$911.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $735.91 / $735.91 / $735.91	Facility		$735.91	$735.91	$735.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.37 / $735.91 / $735.91	Professional		$581.37	$735.91	$735.91