Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.78 / $593.78 / $687.69	Facility		$593.78	$593.78	$687.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.32 / $425.78 / $604.82	Professional		$295.32	$425.78	$604.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $852.42	Facility		$458.59	$458.59	$852.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.59 / $822.00 / $1,027.50	Professional		$458.59	$822.00	$1,027.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.91 / $798.68 / $978.65	Professional		$708.91	$798.68	$978.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.19 / $1,007.41 / $3,692.24	Facility		$494.19	$1,007.41	$3,692.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.46 / $494.04 / $1,058.78	Professional		$370.46	$494.04	$1,058.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.93 / $852.42 / $1,076.94	Facility		$849.93	$852.42	$1,076.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $698.12 / $995.75 / $1,628.96	Professional		$698.12	$995.75	$1,628.96
United Facility/Professional Professional Modifier Low / Median / High Price $370.46 / $386.60 / $839.71	Professional		$370.46	$386.60	$839.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $759.43 / $759.43 / $759.43	Facility		$759.43	$759.43	$759.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $759.43 / $759.43	Professional		$599.95	$759.43	$759.43