Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $3,715.35	Facility		$977.24	$1,819.70	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,570.40	Professional		$831.76	$977.24	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,754.23	Facility		$2,570.40	$2,691.53	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,548.82	Professional		$1,230.27	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,089.30 / $2,511.89	Professional		$151.36	$2,089.30	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $1,905.46	Facility		$269.15	$426.58	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,819.70	Professional		$1,513.56	$1,513.56	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $524.81	Facility		$223.87	$389.05	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,513.56	Professional		$1,174.90	$1,513.56	$1,513.56