Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.90 / $782.14 / $782.14	Facility		$705.90	$782.14	$782.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $560.84 / $791.31	Professional		$392.14	$560.84	$791.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,103.51	Facility		$583.49	$583.49	$1,103.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $1,082.63 / $1,353.28	Professional		$583.49	$1,082.63	$1,353.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.80 / $1,004.40 / $1,230.74	Professional		$933.80	$1,004.40	$1,230.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.75 / $1,304.15 / $4,826.53	Facility		$639.75	$1,304.15	$4,826.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.59 / $640.80 / $1,358.77	Professional		$479.59	$640.80	$1,358.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,100.29 / $1,103.51 / $1,418.58	Facility		$1,100.29	$1,103.51	$1,418.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $903.77 / $1,289.05 / $2,108.79	Professional		$903.77	$1,289.05	$2,108.79
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $479.59 / $532.34 / $1,180.33	Professional		$479.59	$532.34	$1,180.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $983.13 / $983.13 / $983.13	Facility		$983.13	$983.13	$983.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.67 / $983.13 / $983.13	Professional		$776.67	$983.13	$983.13