Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.39 / $800.30 / $800.30	Facility		$587.39	$800.30	$800.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.17 / $465.40 / $710.00	Professional		$331.17	$465.40	$710.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $802.77	Facility		$451.71	$451.71	$802.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.71 / $1,107.75 / $1,384.69	Professional		$451.71	$1,107.75	$1,384.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.81 / $955.47 / $2,105.12	Professional		$707.81	$955.47	$2,105.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.40 / $937.75 / $3,676.21	Facility		$465.40	$937.75	$3,676.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.84 / $485.45 / $997.11	Professional		$360.84	$485.45	$997.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $800.42 / $802.77 / $1,108.65	Facility		$800.42	$802.77	$1,108.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $688.19 / $948.73 / $1,534.09	Professional		$688.19	$948.73	$1,534.09
United Facility/Professional Professional Modifier Low / Median / High Price $360.84 / $410.92 / $858.72	Professional		$360.84	$410.92	$858.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $715.19 / $715.19 / $715.19	Facility		$715.19	$715.19	$715.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $715.19 / $715.19	Professional		$565.00	$715.19	$715.19