Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.28 / $504.28 / $584.03	Facility		$504.28	$504.28	$584.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $361.59 / $527.17	Professional		$250.80	$361.59	$527.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $878.34	Facility		$382.03	$382.03	$878.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $697.88 / $878.34	Professional		$382.03	$697.88	$878.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.04 / $743.03 / $965.81	Professional		$602.04	$743.03	$965.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.21 / $963.29 / $3,201.26	Facility		$509.21	$963.29	$3,201.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.27 / $452.45 / $1,046.49	Professional		$357.27	$452.45	$1,046.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $875.77 / $878.34 / $1,052.70	Facility		$875.77	$878.34	$1,052.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.11 / $945.90 / $1,678.49	Professional		$691.11	$945.90	$1,678.49
United Facility/Professional Professional Modifier Low / Median / High Price $338.99 / $398.36 / $782.67	Professional		$338.99	$398.36	$782.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $782.52 / $782.52 / $782.52	Facility		$782.52	$782.52	$782.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $618.19 / $782.52 / $782.52	Professional		$618.19	$782.52	$782.52