Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.69 / $596.69 / $619.29	Facility		$596.69	$596.69	$619.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.68 / $489.18 / $779.65	Professional		$361.68	$489.18	$779.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $895.92	Facility		$579.51	$579.51	$895.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $995.63 / $1,244.53	Professional		$579.51	$995.63	$1,244.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $918.46 / $995.30	Professional		$773.75	$918.46	$995.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $1,014.37 / $4,272.47	Facility		$511.65	$1,014.37	$4,272.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.54 / $474.05 / $1,112.81	Professional		$398.54	$474.05	$1,112.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $893.30 / $895.92 / $1,237.31	Facility		$893.30	$895.92	$1,237.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $733.76 / $1,058.81 / $1,712.08	Professional		$733.76	$1,058.81	$1,712.08
United Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $417.11 / $1,068.31	Professional		$397.85	$417.11	$1,068.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $773.75 / $773.75 / $773.75	Facility		$773.75	$773.75	$773.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $611.26 / $773.75 / $773.75	Professional		$611.26	$773.75	$773.75