Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $665.41 / $665.41	Facility		$576.29	$665.41	$665.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $475.74 / $693.60	Professional		$329.97	$475.74	$693.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $990.80	Facility		$703.94	$703.94	$990.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $921.00 / $1,151.25	Professional		$703.94	$921.00	$1,151.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.35 / $861.67 / $912.73	Professional		$760.35	$861.67	$912.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.41 / $1,157.40 / $4,062.38	Facility		$574.41	$1,157.40	$4,062.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.61 / $552.02 / $1,180.48	Professional		$430.61	$552.02	$1,180.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $987.91 / $990.80 / $1,203.33	Facility		$987.91	$990.80	$1,203.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.48 / $1,157.40 / $1,893.40	Professional		$811.48	$1,157.40	$1,893.40
United Facility/Professional Professional Modifier Low / Median / High Price $430.61 / $449.36 / $1,032.76	Professional		$430.61	$449.36	$1,032.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $882.72 / $882.72 / $882.72	Facility		$882.72	$882.72	$882.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $697.35 / $882.72 / $882.72	Professional		$697.35	$882.72	$882.72