Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $679.81 / $679.81	Facility		$597.00	$679.81	$679.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.93 / $435.46 / $685.95	Professional		$339.93	$435.46	$685.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $888.43	Facility		$525.23	$525.23	$888.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $940.88 / $1,176.08	Professional		$525.23	$940.88	$1,176.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $771.04 / $872.31 / $1,047.13	Professional		$771.04	$872.31	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.05 / $1,037.80 / $3,779.52	Facility		$515.05	$1,037.80	$3,779.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $515.91 / $1,103.49	Professional		$386.11	$515.91	$1,103.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $885.82 / $888.43 / $1,101.46	Facility		$885.82	$888.43	$1,101.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $727.63 / $1,037.80 / $1,697.75	Professional		$727.63	$1,037.80	$1,697.75
United Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $408.25 / $691.70	Professional		$386.11	$408.25	$691.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $791.51 / $791.51 / $791.51	Facility		$791.51	$791.51	$791.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $791.51 / $791.51	Professional		$625.29	$791.51	$791.51