Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.88 / $764.88 / $784.52	Facility		$764.88	$764.88	$784.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.46 / $485.72 / $721.94	Professional		$343.46	$485.72	$721.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.92 / $649.92 / $918.16	Facility		$649.92	$649.92	$918.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $1,058.63 / $1,323.28	Professional		$649.92	$1,058.63	$1,323.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $809.54 / $975.99 / $1,230.99	Professional		$809.54	$975.99	$1,230.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.29 / $1,085.09 / $4,278.92	Facility		$532.29	$1,085.09	$4,278.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.46 / $537.95 / $1,140.41	Professional		$403.46	$537.95	$1,140.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $915.48 / $918.16 / $1,228.58	Facility		$915.48	$918.16	$1,228.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.31 / $1,072.53 / $1,754.56	Professional		$831.31	$1,072.53	$1,754.56
United Facility/Professional Professional Modifier Low / Median / High Price $403.46 / $479.92 / $1,093.91	Professional		$403.46	$479.92	$1,093.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $818.00 / $818.00	Facility		$818.00	$818.00	$818.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $646.22 / $818.00 / $818.00	Professional		$646.22	$818.00	$818.00