Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.99 / $807.72 / $807.72	Facility		$705.99	$807.72	$807.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.77 / $597.49 / $922.66	Professional		$432.77	$597.49	$922.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,199.97	Facility		$751.98	$751.98	$1,199.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.15 / $1,347.75 / $1,684.69	Professional		$1,087.15	$1,347.75	$1,684.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $899.77 / $972.18 / $1,162.49	Professional		$899.77	$972.18	$1,162.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.28 / $1,373.12 / $5,145.80	Facility		$685.28	$1,373.12	$5,145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.10 / $562.37 / $1,490.46	Professional		$484.10	$562.37	$1,490.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,196.45 / $1,199.97 / $1,474.12	Facility		$1,196.45	$1,199.97	$1,474.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $982.79 / $1,401.72 / $2,293.11	Professional		$982.79	$1,401.72	$2,293.11
United Facility/Professional Facility Modifier Low / Median / High Price $399.82 / $479.78 / $633.41	Facility		$399.82	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $479.78 / $544.23 / $1,283.50	Professional		$479.78	$544.23	$1,283.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Facility		$1,036.33	$1,036.33	$1,036.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $818.71 / $1,036.33 / $1,036.33	Professional		$818.71	$1,036.33	$1,036.33