Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.59 / $871.56 / $871.56	Facility		$848.59	$871.56	$871.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.41 / $525.40 / $766.42	Professional		$364.41	$525.40	$766.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,080.18	Facility		$673.11	$673.11	$1,080.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.11 / $1,206.38 / $1,507.97	Professional		$673.11	$1,206.38	$1,507.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $884.47 / $1,148.25 / $1,516.84	Professional		$884.47	$1,148.25	$1,516.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.22 / $1,276.57 / $4,663.25	Facility		$626.22	$1,276.57	$4,663.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.45 / $609.64 / $1,341.67	Professional		$469.45	$609.64	$1,341.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,077.02 / $1,080.18 / $1,328.91	Facility		$1,077.02	$1,080.18	$1,328.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $978.02 / $1,272.41 / $2,064.19	Professional		$978.02	$1,272.41	$2,064.19
United Facility/Professional Professional Modifier Low / Median / High Price $469.45 / $492.56 / $1,155.43	Professional		$469.45	$492.56	$1,155.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $962.34 / $962.34 / $962.34	Facility		$962.34	$962.34	$962.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.25 / $962.34 / $962.34	Professional		$760.25	$962.34	$962.34