Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.72 / $650.16 / $650.16	Facility		$526.72	$650.16	$650.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $410.66 / $625.34	Professional		$284.83	$410.66	$625.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $881.34	Facility		$427.25	$427.25	$881.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.25 / $900.00 / $1,125.00	Professional		$427.25	$900.00	$1,125.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.74 / $801.22 / $910.96	Professional		$683.74	$801.22	$910.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $510.95 / $1,038.72 / $3,613.43	Facility		$510.95	$1,038.72	$3,613.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $487.43 / $1,094.70	Professional		$383.04	$487.43	$1,094.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $878.76 / $881.34 / $1,056.29	Facility		$878.76	$881.34	$1,056.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $721.82 / $1,029.52 / $1,684.24	Professional		$721.82	$1,029.52	$1,684.24
United Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $403.82 / $942.75	Professional		$383.04	$403.82	$942.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $785.20 / $785.20 / $785.20	Facility		$785.20	$785.20	$785.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $620.30 / $785.20 / $785.20	Professional		$620.30	$785.20	$785.20