Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $693.32 / $693.32	Facility		$515.52	$693.32	$693.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $425.58 / $794.19	Professional		$347.44	$425.58	$794.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $779.44	Facility		$511.94	$511.94	$779.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.11 / $959.63 / $1,199.53	Professional		$774.11	$959.63	$1,199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.24 / $858.67 / $1,030.76	Professional		$687.24	$858.67	$1,030.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.87 / $934.16 / $3,937.24	Facility		$451.87	$934.16	$3,937.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $471.34 / $968.12	Professional		$350.35	$471.34	$968.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $779.44 / $780.00 / $1,076.45	Facility		$779.44	$780.00	$1,076.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $638.36 / $921.15 / $1,489.51	Professional		$638.36	$921.15	$1,489.51
United Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $408.56 / $928.65	Professional		$350.35	$408.56	$928.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $694.41 / $694.41 / $694.41	Facility		$694.41	$694.41	$694.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $548.58 / $694.41 / $694.41	Professional		$548.58	$694.41	$694.41