Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $676.08	Professional		$478.63	$537.03	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $1,949.84	Facility		$1,862.09	$1,905.46	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,621.81	Professional		$1,318.26	$1,318.26	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $891.25 / $1,230.27	Professional		$151.36	$891.25	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $812.83 / $1,737.80	Facility		$676.08	$812.83	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $2,754.23	Professional		$407.38	$676.08	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,584.89	Facility		$676.08	$676.08	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,737.80	Professional		$407.38	$407.38	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08