Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.44 / $735.01 / $735.01	Facility		$645.44	$735.01	$735.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $470.83 / $741.67	Professional		$367.54	$470.83	$741.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $960.55	Facility		$624.54	$624.54	$960.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $1,017.38 / $1,271.72	Professional		$624.54	$1,017.38	$1,271.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $833.65 / $877.53 / $1,040.17	Professional		$833.65	$877.53	$1,040.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.87 / $1,135.20 / $4,086.48	Facility		$556.87	$1,135.20	$4,086.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.46 / $546.32 / $1,193.08	Professional		$417.46	$546.32	$1,193.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $957.74 / $960.55 / $1,190.93	Facility		$957.74	$960.55	$1,190.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $786.70 / $1,122.05 / $1,835.59	Professional		$786.70	$1,122.05	$1,835.59
United Facility/Professional Professional Modifier Low / Median / High Price $417.46 / $452.00 / $1,027.53	Professional		$417.46	$452.00	$1,027.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $855.77 / $855.77 / $855.77	Facility		$855.77	$855.77	$855.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.06 / $855.77 / $855.77	Professional		$676.06	$855.77	$855.77