Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $676.08	Facility		$501.19	$602.56	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $645.65	Professional		$323.59	$398.11	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $870.96	Facility		$416.87	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $933.25 / $1,174.90	Professional		$416.87	$933.25	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $812.83	Professional		$575.44	$691.83	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $977.24 / $3,467.37	Facility		$524.81	$977.24	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $1,288.25	Professional		$363.08	$501.19	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,023.29	Professional		$851.14	$870.96	$1,023.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,288.25	Professional		$776.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,096.48	Facility		$309.03	$512.86	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $707.95	Professional		$354.81	$398.11	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $758.58	Professional		$588.84	$758.58	$758.58