Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.12 / $585.47 / $585.47	Facility		$447.12	$585.47	$585.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $369.10 / $585.47	Professional		$256.01	$369.10	$585.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $890.80	Facility		$452.18	$452.18	$890.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $810.38 / $1,012.97	Professional		$452.18	$810.38	$1,012.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.04 / $780.02 / $866.69	Professional		$664.04	$780.02	$866.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.44 / $983.28 / $3,241.88	Facility		$516.44	$983.28	$3,241.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.69 / $459.89 / $1,061.33	Professional		$364.69	$459.89	$1,061.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $888.19 / $890.80 / $1,067.63	Facility		$888.19	$890.80	$1,067.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $705.45 / $959.32 / $1,702.29	Professional		$705.45	$959.32	$1,702.29
United Facility/Professional Facility Modifier Low / Median / High Price $983.28 / $983.28 / $1,597.83	Facility		$983.28	$983.28	$1,597.83
United Facility/Professional Professional Modifier Low / Median / High Price $348.72 / $408.14 / $952.89	Professional		$348.72	$408.14	$952.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $793.62 / $793.62 / $793.62	Facility		$793.62	$793.62	$793.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.96 / $793.62 / $793.62	Professional		$626.96	$793.62	$793.62