Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.11 / $628.72 / $628.72	Facility		$546.11	$628.72	$628.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.69 / $450.82 / $630.97	Professional		$312.69	$450.82	$630.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $888.06	Facility		$485.57	$485.57	$888.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.57 / $870.38 / $1,087.97	Professional		$485.57	$870.38	$1,087.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $750.62 / $850.13 / $1,041.70	Professional		$750.62	$850.13	$1,041.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.85 / $1,049.53 / $3,853.16	Facility		$514.85	$1,049.53	$3,853.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.96 / $515.70 / $1,092.21	Professional		$385.96	$515.70	$1,092.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $885.47 / $888.06 / $1,140.31	Facility		$885.47	$888.06	$1,140.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $727.32 / $1,037.38 / $1,697.09	Professional		$727.32	$1,037.38	$1,697.09
United Facility/Professional Professional Modifier Low / Median / High Price $399.18 / $402.77 / $949.92	Professional		$399.18	$402.77	$949.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $791.18 / $791.18 / $791.18	Facility		$791.18	$791.18	$791.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $625.03 / $791.18 / $791.18	Professional		$625.03	$791.18	$791.18