Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.72 / $624.25 / $624.25	Facility		$619.72	$624.25	$624.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $394.97 / $575.84	Professional		$273.95	$394.97	$575.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $723.38	Facility		$410.92	$410.92	$723.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.92 / $864.00 / $1,080.00	Professional		$410.92	$864.00	$1,080.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.79 / $745.29 / $903.88	Professional		$637.79	$745.29	$903.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.37 / $866.98 / $3,432.45	Facility		$419.37	$866.98	$3,432.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $437.44 / $898.50	Professional		$325.14	$437.44	$898.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $721.26 / $723.38 / $999.03	Facility		$721.26	$723.38	$999.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $654.97 / $854.91 / $1,382.37	Professional		$654.97	$854.91	$1,382.37
United Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $400.07 / $773.78	Professional		$325.14	$400.07	$773.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $644.47 / $644.47 / $644.47	Facility		$644.47	$644.47	$644.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $509.13 / $644.47 / $644.47	Professional		$509.13	$644.47	$644.47