Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.13 / $600.13 / $2,079.58	Facility		$600.13	$600.13	$2,079.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $541.66 / $835.77	Professional		$346.19	$541.66	$835.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $1,069.51	Facility		$736.58	$736.58	$1,069.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,068.75 / $1,091.35	Professional		$855.00	$1,068.75	$1,091.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $638.50 / $1,155.19 / $1,251.83	Professional		$638.50	$1,155.19	$1,251.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.66 / $1,259.01 / $3,271.09	Facility		$541.66	$1,259.01	$3,271.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.05 / $628.39 / $1,629.20	Professional		$534.05	$628.39	$1,629.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $1,154.39 / $1,458.25	Facility		$1,069.51	$1,154.39	$1,458.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,069.51 / $1,278.94 / $2,249.42	Professional		$1,069.51	$1,278.94	$2,249.42
United Facility/Professional Professional Modifier Low / Median / High Price $529.29 / $594.89 / $1,267.81	Professional		$529.29	$594.89	$1,267.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $952.83 / $952.83 / $952.83	Facility		$952.83	$952.83	$952.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $752.74 / $952.83 / $952.83	Professional		$752.74	$952.83	$952.83