Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $648.16 / $673.10	Facility		$648.16	$648.16	$673.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $416.74 / $631.11	Professional		$289.05	$416.74	$631.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $889.47	Facility		$500.58	$500.58	$889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.58 / $897.00 / $1,121.25	Professional		$500.58	$897.00	$1,121.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $693.87 / $808.61 / $980.34	Professional		$693.87	$808.61	$980.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.66 / $1,051.19 / $3,743.49	Facility		$515.66	$1,051.19	$3,743.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.57 / $491.93 / $1,104.81	Professional		$386.57	$491.93	$1,104.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $886.88 / $889.47 / $1,066.04	Facility		$886.88	$889.47	$1,066.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $1,039.03 / $1,699.76	Professional		$756.00	$1,039.03	$1,699.76
United Facility/Professional Professional Modifier Low / Median / High Price $386.57 / $403.41 / $951.41	Professional		$386.57	$403.41	$951.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $792.44 / $792.44 / $792.44	Facility		$792.44	$792.44	$792.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.03 / $792.44 / $792.44	Professional		$626.03	$792.44	$792.44