Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.45 / $900.52 / $900.52	Facility		$600.45	$900.52	$900.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.27 / $524.97 / $786.71	Professional		$374.27	$524.97	$786.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $962.58	Facility		$695.50	$695.50	$962.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $1,246.50 / $1,558.13	Professional		$695.50	$1,246.50	$1,558.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $848.70 / $1,075.13 / $1,826.16	Professional		$848.70	$1,075.13	$1,826.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $558.04 / $1,137.58 / $4,434.30	Facility		$558.04	$1,137.58	$4,434.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.34 / $558.98 / $1,195.58	Professional		$418.34	$558.98	$1,195.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $959.76 / $962.58 / $1,253.78	Facility		$959.76	$962.58	$1,253.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $788.35 / $1,124.42 / $1,839.45	Professional		$788.35	$1,124.42	$1,839.45
United Facility/Professional Professional Modifier Low / Median / High Price $418.34 / $441.04 / $1,029.59	Professional		$418.34	$441.04	$1,029.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $857.57 / $857.57 / $857.57	Facility		$857.57	$857.57	$857.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $677.48 / $857.57 / $857.57	Professional		$677.48	$857.57	$857.57