Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.57 / $874.57 / $1,107.14	Facility		$874.57	$874.57	$1,107.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.66 / $843.38 / $1,207.73	Professional		$605.66	$843.38	$1,207.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.54 / $881.10 / $1,239.98	Facility		$871.54	$881.10	$1,239.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.54 / $1,620.00 / $2,025.00	Professional		$871.54	$1,620.00	$2,025.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $287.35 / $1,693.67	Professional		$145.88	$287.35	$1,693.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.64 / $1,486.77 / $6,756.10	Facility		$185.64	$1,486.77	$6,756.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $570.16 / $826.52 / $2,053.06	Professional		$570.16	$826.52	$2,053.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.32 / $185.64 / $438.78	Facility		$169.32	$185.64	$438.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $209.02 / $438.78	Professional		$168.09	$209.02	$438.78
United Facility/Professional Professional Modifier Low / Median / High Price $748.61 / $749.66 / $1,956.94	Professional		$748.61	$749.66	$1,956.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,518.84 / $1,518.84 / $1,518.84	Facility		$1,518.84	$1,518.84	$1,518.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,199.88 / $1,518.84 / $1,518.84	Professional		$1,199.88	$1,518.84	$1,518.84