Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $646.69 / $646.69	Facility		$611.00	$646.69	$646.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $403.14 / $587.73	Professional		$279.61	$403.14	$587.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $747.11	Facility		$419.41	$419.41	$747.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.05 / $895.13 / $1,118.91	Professional		$722.05	$895.13	$1,118.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.73 / $772.09 / $944.00	Professional		$658.73	$772.09	$944.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.13 / $894.03 / $3,569.44	Facility		$433.13	$894.03	$3,569.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.86 / $446.48 / $927.96	Professional		$334.86	$446.48	$927.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $744.92 / $747.11 / $1,019.66	Facility		$744.92	$747.11	$1,019.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.45 / $882.95 / $1,427.70	Professional		$676.45	$882.95	$1,427.70
United Facility/Professional Professional Modifier Low / Median / High Price $334.86 / $350.13 / $799.15	Professional		$334.86	$350.13	$799.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $665.61 / $665.61 / $665.61	Facility		$665.61	$665.61	$665.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $525.83 / $665.61 / $665.61	Professional		$525.83	$665.61	$665.61