Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.66 / $682.69 / $682.69	Facility		$628.66	$682.69	$682.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $422.17 / $628.53	Professional		$292.81	$422.17	$628.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $885.83	Facility		$527.25	$527.25	$885.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.25 / $945.00 / $1,181.25	Professional		$527.25	$945.00	$1,181.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.04 / $815.05 / $955.41	Professional		$765.04	$815.05	$955.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.55 / $1,046.89 / $3,676.89	Facility		$513.55	$1,046.89	$3,676.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $489.92 / $1,100.27	Professional		$384.98	$489.92	$1,100.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $883.24 / $885.83 / $1,067.82	Facility		$883.24	$885.83	$1,067.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $1,034.78 / $1,692.81	Professional		$735.00	$1,034.78	$1,692.81
United Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $415.15 / $947.52	Professional		$383.84	$415.15	$947.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $789.19 / $789.19 / $789.19	Facility		$789.19	$789.19	$789.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.46 / $789.19 / $789.19	Professional		$623.46	$789.19	$789.19