Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.99 / $985.05 / $985.05	Facility		$928.99	$985.05	$985.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $575.17 / $838.56	Professional		$398.94	$575.17	$838.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,053.43	Facility		$694.09	$694.09	$1,053.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $1,363.50 / $1,704.38	Professional		$694.09	$1,363.50	$1,704.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.81 / $1,176.04 / $1,340.48	Professional		$928.81	$1,176.04	$1,340.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.72 / $1,262.55 / $4,987.84	Facility		$610.72	$1,262.55	$4,987.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.51 / $637.02 / $1,308.45	Professional		$473.51	$637.02	$1,308.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,050.34 / $1,053.43 / $1,454.84	Facility		$1,050.34	$1,053.43	$1,454.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $1,230.55 / $2,013.09	Professional		$937.00	$1,230.55	$2,013.09
United Facility/Professional Professional Modifier Low / Median / High Price $473.51 / $568.30 / $1,255.09	Professional		$473.51	$568.30	$1,255.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $938.51 / $938.51 / $938.51	Facility		$938.51	$938.51	$938.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.42 / $938.51 / $938.51	Professional		$741.42	$938.51	$938.51