Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.93 / $809.93 / $975.01	Facility		$809.93	$809.93	$975.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.91 / $743.02 / $1,118.47	Professional		$421.91	$743.02	$1,118.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $1,304.94	Facility		$833.40	$833.40	$1,304.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $1,304.94 / $1,964.06	Professional		$116.30	$1,304.94	$1,964.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $128.56 / $1,761.89	Professional		$128.56	$128.56	$1,761.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.70 / $1,586.14 / $7,110.09	Facility		$174.70	$1,586.14	$7,110.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $574.35 / $737.14 / $1,831.02	Professional		$574.35	$737.14	$1,831.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.28 / $150.28 / $355.21	Facility		$150.28	$150.28	$355.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $179.59 / $355.21	Professional		$149.12	$179.59	$355.21
United Facility/Professional Professional Modifier Low / Median / High Price $658.50 / $724.30 / $1,831.02	Professional		$658.50	$724.30	$1,831.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $971.37 / $1,229.58 / $1,229.58	Professional		$971.37	$1,229.58	$1,229.58