Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,635.40 / $2,287.56	Facility		$840.65	$1,635.40	$2,287.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.83 / $647.29 / $647.29	Professional		$554.83	$647.29	$647.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,526.90 / $1,908.62	Professional		$966.01	$1,526.90	$1,908.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $1,092.84 / $1,521.58	Professional		$714.55	$1,092.84	$1,521.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,084.80 / $3,158.56	Facility		$840.65	$1,084.80	$3,158.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $504.39 / $2,126.00	Professional		$504.39	$504.39	$2,126.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,009.62 / $1,537.34 / $1,842.36	Facility		$1,009.62	$1,537.34	$1,842.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,008.78 / $1,654.34 / $2,194.10	Professional		$1,008.78	$1,654.34	$2,194.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,260.98 / $1,260.98 / $1,260.98	Facility		$1,260.98	$1,260.98	$1,260.98
United Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $504.39 / $1,832.62	Professional		$504.39	$504.39	$1,832.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $840.65 / $840.65	Professional		$664.11	$840.65	$840.65