Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Professional		$368.46	$368.46	$368.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.38 / $1,253.83 / $1,253.83	Professional		$1,103.38	$1,253.83	$1,253.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.99 / $279.80 / $375.14	Professional		$227.99	$279.80	$375.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.70 / $4,189.56 / $20,403.84	Facility		$622.70	$4,189.56	$20,403.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,253.83 / $1,253.83 / $1,253.83	Professional		$1,253.83	$1,253.83	$1,253.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,351.47 / $3,866.85 / $5,384.69	Facility		$3,351.47	$3,866.85	$5,384.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,253.83 / $1,253.83 / $1,253.83	Professional		$1,253.83	$1,253.83	$1,253.83
United Facility/Professional Facility Modifier Low / Median / High Price $9,850.42 / $16,117.32 / $19,632.25	Facility		$9,850.42	$16,117.32	$19,632.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,039.15 / $7,644.49 / $7,644.49	Professional		$6,039.15	$7,644.49	$7,644.49