Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.76 / $686.76 / $721.37	Facility		$686.76	$686.76	$721.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $446.62 / $651.15	Professional		$309.77	$446.62	$651.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $530.41 / $838.20	Facility		$530.41	$530.41	$838.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.80 / $950.63 / $1,188.28	Professional		$766.80	$950.63	$1,188.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.02 / $835.88 / $1,024.24	Professional		$739.02	$835.88	$1,024.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.94 / $990.60 / $3,873.08	Facility		$485.94	$990.60	$3,873.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.99 / $494.65 / $1,041.09	Professional		$370.99	$494.65	$1,041.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $835.74 / $838.20 / $1,129.69	Facility		$835.74	$838.20	$1,129.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $979.13 / $1,601.76	Professional		$744.00	$979.13	$1,601.76
United Facility/Professional Professional Modifier Low / Median / High Price $370.99 / $380.15 / $681.75	Professional		$370.99	$380.15	$681.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $746.76 / $746.76 / $746.76	Facility		$746.76	$746.76	$746.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $589.94 / $746.76 / $746.76	Professional		$589.94	$746.76	$746.76