Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.10 / $627.23 / $627.23	Facility		$501.10	$627.23	$627.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.72 / $393.08 / $604.79	Professional		$272.72	$393.08	$604.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $852.39	Facility		$484.42	$484.42	$852.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $868.13 / $1,085.16	Professional		$484.42	$868.13	$1,085.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $584.27 / $701.36 / $774.90	Professional		$584.27	$701.36	$774.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.17 / $995.71 / $3,319.62	Facility		$494.17	$995.71	$3,319.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.51 / $458.15 / $1,058.73	Professional		$368.51	$458.15	$1,058.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.90 / $852.39 / $1,021.60	Facility		$849.90	$852.39	$1,021.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $698.10 / $994.24 / $1,628.88	Professional		$698.10	$994.24	$1,628.88
United Facility/Professional Professional Modifier Low / Median / High Price $368.51 / $399.47 / $911.67	Professional		$368.51	$399.47	$911.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $759.40 / $759.40 / $759.40	Facility		$759.40	$759.40	$759.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.92 / $759.40 / $759.40	Professional		$599.92	$759.40	$759.40