Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $676.08 / $724.44	Facility		$562.34	$676.08	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $870.96	Professional		$380.19	$457.09	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $977.24	Facility		$501.19	$501.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,258.93	Professional		$501.19	$1,000.00	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,047.13	Professional		$758.58	$891.25	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $3,981.07	Facility		$602.56	$1,122.02	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,445.44	Professional		$416.87	$575.44	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,174.90	Professional		$954.99	$1,000.00	$1,174.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $1,445.44	Professional		$891.25	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $1,258.93	Facility		$323.59	$588.84	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $794.33	Professional		$398.11	$446.68	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $851.14	Professional		$676.08	$851.14	$851.14