Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.73 / $934.73 / $1,334.29	Facility		$934.73	$934.73	$1,334.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.74 / $934.73 / $1,518.59	Professional		$561.74	$934.73	$1,518.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $1,510.26	Facility		$511.03	$511.03	$1,510.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $1,510.26 / $2,259.38	Professional		$136.10	$1,510.26	$2,259.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $169.20 / $1,353.61	Professional		$169.20	$169.20	$1,353.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.44 / $1,769.49 / $8,228.75	Facility		$181.44	$1,769.49	$8,228.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.91 / $771.47 / $2,003.79	Professional		$557.91	$771.47	$2,003.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.55 / $201.73 / $462.20	Facility		$195.55	$201.73	$462.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $241.77 / $462.20	Professional		$201.14	$241.77	$462.20
United Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $771.47 / $1,916.97	Professional		$617.16	$771.47	$1,916.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,263.94 / $1,599.93 / $1,599.93	Professional		$1,263.94	$1,599.93	$1,599.93