Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.02 / $916.02 / $1,102.84	Facility		$916.02	$916.02	$1,102.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.12 / $840.42 / $1,264.98	Professional		$495.12	$840.42	$1,264.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,519.02	Facility		$642.26	$642.26	$1,519.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.26 / $1,519.02 / $2,193.75	Professional		$642.26	$1,519.02	$2,193.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $145.40 / $145.40	Professional		$145.40	$145.40	$145.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $1,861.28 / $8,276.54	Facility		$200.10	$1,861.28	$8,276.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $674.03 / $865.06 / $2,071.09	Professional		$674.03	$865.06	$2,071.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $172.10 / $406.77	Facility		$172.10	$172.10	$406.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $205.69 / $406.77	Professional		$170.80	$205.69	$406.77
United Facility/Professional Professional Modifier Low / Median / High Price $735.30 / $819.26 / $2,071.09	Professional		$735.30	$819.26	$2,071.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,112.35 / $1,408.05 / $1,408.05	Professional		$1,112.35	$1,408.05	$1,408.05