Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.33 / $662.27 / $662.27	Facility		$551.33	$662.27	$662.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $401.40 / $622.72	Professional		$296.25	$401.40	$622.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $824.19	Facility		$440.05	$440.05	$824.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.05 / $916.50 / $1,145.63	Professional		$440.05	$916.50	$1,145.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $711.80 / $790.68 / $1,040.35	Professional		$711.80	$790.68	$1,040.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.82 / $974.04 / $3,490.95	Facility		$477.82	$974.04	$3,490.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $477.14 / $1,023.70	Professional		$358.19	$477.14	$1,023.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $821.78 / $824.19 / $1,015.31	Facility		$821.78	$824.19	$1,015.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.99 / $962.77 / $1,574.97	Professional		$674.99	$962.77	$1,574.97
United Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $385.35 / $881.55	Professional		$358.19	$385.35	$881.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $734.27 / $734.27 / $734.27	Facility		$734.27	$734.27	$734.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $580.07 / $734.27 / $734.27	Professional		$580.07	$734.27	$734.27