Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $1,541.09 / $2,155.63	Facility		$792.17	$1,541.09	$2,155.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.83 / $609.97 / $609.97	Professional		$522.83	$609.97	$609.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $950.60 / $950.60	Facility		$950.60	$950.60	$950.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,438.77 / $1,798.46	Professional		$950.60	$1,438.77	$1,798.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $673.34 / $1,029.82 / $1,386.30	Professional		$673.34	$1,029.82	$1,386.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.97 / $1,630.02 / $3,762.81	Facility		$609.97	$1,630.02	$3,762.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $475.30 / $1,853.68	Professional		$475.30	$475.30	$1,853.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $1,029.82 / $1,631.87	Facility		$950.60	$1,029.82	$1,631.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,630.02 / $1,853.68	Professional		$950.60	$1,630.02	$1,853.68
United Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $475.30 / $1,621.97	Professional		$475.30	$475.30	$1,621.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $792.17 / $792.17	Professional		$625.80	$792.17	$792.17