Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $594.23 / $594.23	Facility		$528.00	$594.23	$594.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $403.70 / $590.92	Professional		$280.01	$403.70	$590.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $832.85	Facility		$420.01	$420.01	$832.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $822.38 / $1,027.97	Professional		$420.01	$822.38	$1,027.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $672.17 / $757.14 / $879.10	Professional		$672.17	$757.14	$879.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.84 / $984.28 / $3,565.60	Facility		$482.84	$984.28	$3,565.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.95 / $468.43 / $1,032.31	Professional		$361.95	$468.43	$1,032.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $830.41 / $832.85 / $1,021.12	Facility		$830.41	$832.85	$1,021.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $972.88 / $1,591.53	Professional		$682.09	$972.88	$1,591.53
United Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $390.31 / $922.29	Professional		$349.23	$390.31	$922.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $742.00 / $742.00 / $742.00	Facility		$742.00	$742.00	$742.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $742.00 / $742.00	Professional		$586.17	$742.00	$742.00