Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.66 / $819.76 / $819.76	Facility		$546.66	$819.76	$819.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $484.41 / $780.92	Professional		$335.54	$484.41	$780.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,093.35	Facility		$644.36	$644.36	$1,093.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.36 / $1,134.75 / $1,418.44	Professional		$644.36	$1,134.75	$1,418.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $717.95 / $861.83 / $993.96	Professional		$717.95	$861.83	$993.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.86 / $1,202.21 / $4,034.25	Facility		$633.86	$1,202.21	$4,034.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.89 / $564.52 / $1,358.04	Professional		$445.89	$564.52	$1,358.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,090.15 / $1,093.35 / $1,310.39	Facility		$1,090.15	$1,093.35	$1,310.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $862.52 / $1,177.45 / $2,089.39	Professional		$862.52	$1,177.45	$2,089.39
United Facility/Professional Professional Modifier Low / Median / High Price $423.08 / $499.81 / $1,272.32	Professional		$423.08	$499.81	$1,272.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $974.08 / $974.08 / $974.08	Facility		$974.08	$974.08	$974.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $769.52 / $974.08 / $974.08	Professional		$769.52	$974.08	$974.08