Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.91 / $590.91 / $653.88	Facility		$590.91	$590.91	$653.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.05 / $423.72 / $666.79	Professional		$315.05	$423.72	$666.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $1,034.72	Facility		$448.56	$448.56	$1,034.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.56 / $817.88 / $1,034.72	Professional		$448.56	$817.88	$1,034.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $705.49 / $870.03 / $940.65	Professional		$705.49	$870.03	$940.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.87 / $1,128.78 / $3,726.17	Facility		$599.87	$1,128.78	$3,726.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $527.94 / $1,232.81	Professional		$418.66	$527.94	$1,232.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,031.69 / $1,034.72 / $1,240.10	Facility		$1,031.69	$1,034.72	$1,240.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $809.84 / $1,114.32 / $1,977.33	Professional		$809.84	$1,114.32	$1,977.33
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $397.24 / $469.28 / $1,026.55	Professional		$397.24	$469.28	$1,026.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $921.84 / $921.84 / $921.84	Facility		$921.84	$921.84	$921.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $728.25 / $921.84 / $921.84	Professional		$728.25	$921.84	$921.84