Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.61 / $737.61 / $766.55	Facility		$737.61	$737.61	$766.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $474.60 / $691.93	Professional		$329.18	$474.60	$691.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $951.16	Facility		$589.44	$589.44	$951.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $1,020.75 / $1,275.94	Professional		$589.44	$1,020.75	$1,275.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $790.21 / $880.62 / $1,007.84	Professional		$790.21	$880.62	$1,007.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $551.41 / $1,124.09 / $4,115.68	Facility		$551.41	$1,124.09	$4,115.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.38 / $550.70 / $1,181.41	Professional		$413.38	$550.70	$1,181.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $948.37 / $951.16 / $1,200.44	Facility		$948.37	$951.16	$1,200.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $779.00 / $1,111.08 / $1,817.64	Professional		$779.00	$1,111.08	$1,817.64
United Facility/Professional Professional Modifier Low / Median / High Price $398.85 / $468.93 / $1,133.24	Professional		$398.85	$468.93	$1,133.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $847.40 / $847.40 / $847.40	Facility		$847.40	$847.40	$847.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $669.45 / $847.40 / $847.40	Professional		$669.45	$847.40	$847.40