Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.05 / $837.02 / $3,416.28	Facility		$727.05	$837.02	$3,416.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.22 / $477.96 / $656.28	Professional		$312.22	$477.96	$656.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $824.44	Facility		$666.06	$666.06	$824.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.06 / $1,158.38 / $1,447.97	Professional		$666.06	$1,158.38	$1,447.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $1,228.36 / $1,770.00	Professional		$726.90	$1,228.36	$1,770.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.96 / $974.34 / $3,903.56	Facility		$477.96	$974.34	$3,903.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $498.55 / $1,024.03	Professional		$370.58	$498.55	$1,024.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $822.02 / $824.44 / $1,138.58	Facility		$822.02	$824.44	$1,138.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $734.00 / $963.05 / $1,575.49	Professional		$734.00	$963.05	$1,575.49
United Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $455.96 / $982.27	Professional		$370.58	$455.96	$982.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $734.50 / $734.50 / $734.50	Facility		$734.50	$734.50	$734.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $580.26 / $734.50 / $734.50	Professional		$580.26	$734.50	$734.50