Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.29 / $672.40 / $672.40	Facility		$596.29	$672.40	$672.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.16 / $497.39 / $738.67	Professional		$311.16	$497.39	$738.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $931.68	Facility		$626.01	$626.01	$931.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.01 / $1,122.00 / $1,402.50	Professional		$626.01	$1,122.00	$1,402.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $804.63 / $869.80 / $967.72	Professional		$804.63	$869.80	$967.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.07 / $1,088.33 / $4,031.07	Facility		$532.07	$1,088.33	$4,031.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.20 / $436.64 / $1,157.22	Professional		$377.20	$436.64	$1,157.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $928.96 / $931.68 / $1,148.58	Facility		$928.96	$931.68	$1,148.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $763.07 / $1,088.33 / $1,780.43	Professional		$763.07	$1,088.33	$1,780.43
United Facility/Professional Professional Modifier Low / Median / High Price $373.83 / $422.55 / $1,110.95	Professional		$373.83	$422.55	$1,110.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $804.63 / $804.63 / $804.63	Facility		$804.63	$804.63	$804.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $804.63 / $804.63	Professional		$635.66	$804.63	$804.63