Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.49 / $687.34 / $687.34	Facility		$681.49	$687.34	$687.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $421.94 / $673.19	Professional		$315.33	$421.94	$673.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $772.77	Facility		$502.54	$502.54	$772.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.54 / $951.38 / $1,189.22	Professional		$502.54	$951.38	$1,189.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.36 / $821.45 / $1,534.00	Professional		$681.36	$821.45	$1,534.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.01 / $902.70 / $3,658.96	Facility		$448.01	$902.70	$3,658.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $467.30 / $959.84	Professional		$335.85	$467.30	$959.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.51 / $772.77 / $1,067.23	Facility		$770.51	$772.77	$1,067.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $699.69 / $913.28 / $1,476.74	Professional		$699.69	$913.28	$1,476.74
United Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $398.99 / $920.71	Professional		$335.85	$398.99	$920.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $688.47 / $688.47 / $688.47	Facility		$688.47	$688.47	$688.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $543.89 / $688.47 / $688.47	Professional		$543.89	$688.47	$688.47