Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.64 / $746.64 / $790.35	Facility		$746.64	$746.64	$790.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.62 / $576.53 / $964.93	Professional		$431.62	$576.53	$964.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,176.19	Facility		$695.41	$695.41	$1,176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.41 / $1,245.75 / $1,557.19	Professional		$695.41	$1,245.75	$1,557.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.80 / $1,069.26 / $1,101.00	Professional		$1,015.80	$1,069.26	$1,101.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $671.71 / $1,269.29 / $5,003.81	Facility		$671.71	$1,269.29	$5,003.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.89 / $553.47 / $1,458.26	Professional		$478.89	$553.47	$1,458.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,172.74 / $1,176.19 / $1,458.26	Facility		$1,172.74	$1,176.19	$1,458.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.30 / $1,373.95 / $2,247.67	Professional		$963.30	$1,373.95	$2,247.67
United Facility/Professional Professional Modifier Low / Median / High Price $474.62 / $533.44 / $1,258.11	Professional		$474.62	$533.44	$1,258.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.86 / $1,047.86 / $1,047.86	Facility		$1,047.86	$1,047.86	$1,047.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $827.82 / $1,047.86 / $1,047.86	Professional		$827.82	$1,047.86	$1,047.86