Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,096.48	Professional		$446.68	$741.31	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,380.38	Facility		$870.96	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $1,905.46	Professional		$870.96	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,819.70	Professional		$125.89	$125.89	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,698.24 / $7,244.36	Facility		$151.36	$1,698.24	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,659.59	Professional		$537.03	$691.83	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $3,162.28	Professional		$1,230.27	$1,318.26	$3,162.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $512.86 / $1,000.00	Facility		$60.26	$512.86	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,819.70	Professional		$645.65	$707.95	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,230.27	Professional		$977.24	$1,230.27	$1,230.27