Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.63 / $832.63 / $881.41	Facility		$832.63	$832.63	$881.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.35 / $642.95 / $1,076.08	Professional		$481.35	$642.95	$1,076.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,311.67	Facility		$736.69	$736.69	$1,311.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.69 / $1,389.38 / $1,736.72	Professional		$1,120.69	$1,389.38	$1,736.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.81 / $1,230.98 / $1,333.97	Professional		$1,132.81	$1,230.98	$1,333.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.08 / $1,415.47 / $5,580.24	Facility		$749.08	$1,415.47	$5,580.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.05 / $617.24 / $1,626.24	Professional		$534.05	$617.24	$1,626.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,307.83 / $1,311.67 / $1,626.24	Facility		$1,307.83	$1,311.67	$1,626.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,074.28 / $1,532.21 / $2,506.57	Professional		$1,074.28	$1,532.21	$2,506.57
United Facility/Professional Professional Modifier Low / Median / High Price $529.29 / $594.89 / $1,557.84	Professional		$529.29	$594.89	$1,557.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,168.58 / $1,168.58 / $1,168.58	Facility		$1,168.58	$1,168.58	$1,168.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $923.18 / $1,168.58 / $1,168.58	Professional		$923.18	$1,168.58	$1,168.58