Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $776.25	Facility		$707.95	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $794.33	Professional		$398.11	$537.03	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,122.02	Facility		$588.84	$588.84	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,348.96	Professional		$588.84	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,230.27	Professional		$891.25	$1,023.29	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $4,786.30	Facility		$691.83	$1,288.25	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,659.59	Professional		$467.74	$707.95	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,412.54	Professional		$1,096.48	$1,148.15	$1,412.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $1,659.59	Professional		$1,071.52	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $1,513.56	Facility		$389.05	$724.44	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $912.01	Professional		$467.74	$524.81	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $977.24	Professional		$776.25	$977.24	$977.24