Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $741.31	Facility		$645.65	$676.08	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $741.31	Professional		$371.54	$446.68	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $977.24	Facility		$630.96	$630.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,258.93	Professional		$630.96	$1,023.29	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,047.13	Professional		$831.76	$891.25	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $4,073.80	Facility		$602.56	$1,122.02	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,445.44	Professional		$416.87	$588.84	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,202.26	Professional		$954.99	$1,000.00	$1,202.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $1,445.44	Professional		$891.25	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,288.25	Facility		$389.05	$645.65	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $794.33	Professional		$407.38	$446.68	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $851.14	Professional		$676.08	$851.14	$851.14