Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.15 / $721.42 / $721.42	Facility		$560.15	$721.42	$721.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.30 / $462.41 / $862.92	Professional		$395.30	$462.41	$862.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $958.90	Facility		$496.34	$496.34	$958.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.51 / $998.63 / $1,248.28	Professional		$805.51	$998.63	$1,248.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.14 / $881.94 / $1,058.69	Professional		$828.14	$881.94	$1,058.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.91 / $1,133.25 / $3,942.99	Facility		$555.91	$1,133.25	$3,942.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.74 / $536.54 / $1,191.04	Professional		$416.74	$536.54	$1,191.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $956.10 / $958.90 / $1,169.61	Facility		$956.10	$958.90	$1,169.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $785.34 / $1,120.14 / $1,832.44	Professional		$785.34	$1,120.14	$1,832.44
United Facility/Professional Professional Modifier Low / Median / High Price $431.02 / $434.90 / $1,025.71	Professional		$431.02	$434.90	$1,025.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $854.30 / $854.30 / $854.30	Facility		$854.30	$854.30	$854.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $854.30 / $854.30	Professional		$674.90	$854.30	$854.30