Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $707.95 / $794.33	Facility		$660.69	$707.95	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $741.31	Professional		$363.08	$467.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,380.38	Professional		$501.19	$1,096.48	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,258.93	Professional		$851.14	$954.99	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $4,168.69	Facility		$616.60	$1,148.15	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,513.56	Professional		$426.58	$602.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,230.27	Professional		$977.24	$1,023.29	$1,230.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,513.56	Professional		$912.01	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $1,318.26	Facility		$398.11	$660.69	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $831.76	Professional		$416.87	$467.74	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $891.25	Professional		$691.83	$891.25	$891.25