Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.80 / $855.02 / $855.02	Facility		$697.80	$855.02	$855.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $498.44 / $796.45	Professional		$348.43	$498.44	$796.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $1,122.50	Facility		$510.69	$510.69	$1,122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.69 / $1,183.50 / $1,479.38	Professional		$510.69	$1,183.50	$1,479.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.74 / $889.20 / $1,020.79	Professional		$740.74	$889.20	$1,020.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.76 / $1,307.66 / $3,998.55	Facility		$650.76	$1,307.66	$3,998.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $583.49 / $1,394.22	Professional		$470.69	$583.49	$1,394.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,119.22 / $1,122.50 / $1,345.32	Facility		$1,119.22	$1,122.50	$1,345.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $799.41 / $1,241.58 / $2,145.05	Professional		$799.41	$1,241.58	$2,145.05
United Facility/Professional Professional Modifier Low / Median / High Price $460.19 / $538.79 / $1,200.67	Professional		$460.19	$538.79	$1,200.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $918.41 / $918.41 / $918.41	Facility		$918.41	$918.41	$918.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $725.54 / $918.41 / $918.41	Professional		$725.54	$918.41	$918.41