Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.41 / $658.55 / $658.55	Facility		$531.41	$658.55	$658.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $438.68 / $639.57	Professional		$304.27	$438.68	$639.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $901.26	Facility		$456.40	$456.40	$901.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $911.63 / $1,139.53	Professional		$456.40	$911.63	$1,139.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $730.41 / $852.25 / $1,044.30	Professional		$730.41	$852.25	$1,044.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $1,065.13 / $3,730.43	Facility		$522.50	$1,065.13	$3,730.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.69 / $509.02 / $1,119.45	Professional		$391.69	$509.02	$1,119.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.63 / $901.26 / $1,109.59	Facility		$898.63	$901.26	$1,109.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $738.13 / $1,052.80 / $1,722.29	Professional		$738.13	$1,052.80	$1,722.29
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.53 / $422.38 / $1,022.11	Professional		$390.53	$422.38	$1,022.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $802.94 / $802.94 / $802.94	Facility		$802.94	$802.94	$802.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $634.32 / $802.94 / $802.94	Professional		$634.32	$802.94	$802.94