Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.16 / $965.16 / $1,161.91	Facility		$965.16	$965.16	$1,161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $885.53 / $1,332.84	Professional		$496.80	$885.53	$1,332.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,561.58	Facility		$902.06	$902.06	$1,561.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.06 / $1,878.75 / $2,348.44	Professional		$902.06	$1,878.75	$2,348.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $153.19 / $2,074.66	Professional		$153.19	$153.19	$2,074.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.36 / $1,879.01 / $8,508.41	Facility		$207.36	$1,879.01	$8,508.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.32 / $868.00 / $2,182.01	Professional		$676.32	$868.00	$2,182.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $178.38 / $421.62	Facility		$178.38	$178.38	$421.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $213.17 / $421.62	Professional		$177.00	$213.17	$421.62
United Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $602.54 / $1,168.98	Facility		$68.02	$602.54	$1,168.98
United Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $823.30 / $2,182.01	Professional		$781.33	$823.30	$2,182.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,152.96 / $1,459.44 / $1,459.44	Professional		$1,152.96	$1,459.44	$1,459.44