Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.93 / $1,014.93 / $1,222.64	Facility		$1,014.93	$1,014.93	$1,222.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.10 / $931.39 / $1,385.74	Professional		$655.10	$931.39	$1,385.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $1,565.81	Facility		$989.22	$989.22	$1,565.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.22 / $1,565.81 / $2,259.38	Professional		$989.22	$1,565.81	$2,259.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $307.41 / $1,831.84	Professional		$160.55	$307.41	$1,831.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $1,725.38 / $8,531.40	Facility		$202.08	$1,725.38	$8,531.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $849.66 / $2,077.50	Professional		$599.91	$849.66	$2,077.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $202.08 / $477.65	Facility		$199.17	$202.08	$477.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $245.99 / $477.65	Professional		$197.74	$245.99	$477.65
United Facility/Professional Professional Modifier Low / Median / High Price $710.36 / $784.30 / $1,948.18	Professional		$710.36	$784.30	$1,948.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,653.39 / $1,653.39 / $1,653.39	Facility		$1,653.39	$1,653.39	$1,653.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,306.18 / $1,653.39 / $1,653.39	Professional		$1,306.18	$1,653.39	$1,653.39