Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $630.96	Facility		$512.86	$512.86	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $575.44	Professional		$281.84	$398.11	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $741.31	Facility		$407.38	$407.38	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,071.52	Professional		$407.38	$870.96	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $912.01	Professional		$630.96	$758.58	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $3,467.37	Facility		$446.68	$851.14	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,096.48	Professional		$323.59	$478.63	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,000.00	Professional		$724.44	$758.58	$1,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,096.48	Professional		$758.58	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $1,071.52	Facility		$275.42	$501.19	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $616.60	Professional		$323.59	$354.81	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $645.65	Professional		$512.86	$645.65	$645.65