Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.81 / $784.28 / $784.28	Facility		$737.81	$784.28	$784.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $457.20 / $669.20	Professional		$316.83	$457.20	$669.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $943.16	Facility		$663.31	$663.31	$943.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.31 / $1,085.63 / $1,357.03	Professional		$663.31	$1,085.63	$1,357.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $936.35 / $994.74	Professional		$795.90	$936.35	$994.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.79 / $1,114.65 / $4,017.59	Facility		$546.79	$1,114.65	$4,017.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $530.04 / $1,171.47	Professional		$409.90	$530.04	$1,171.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $940.40 / $943.16 / $1,155.43	Facility		$940.40	$943.16	$1,155.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $1,101.74 / $1,802.32	Professional		$784.00	$1,101.74	$1,802.32
United Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $438.53 / $1,109.09	Professional		$409.90	$438.53	$1,109.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $840.27 / $840.27 / $840.27	Facility		$840.27	$840.27	$840.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $663.81 / $840.27 / $840.27	Professional		$663.81	$840.27	$840.27