Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.38 / $840.38 / $889.61	Facility		$840.38	$840.38	$889.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.82 / $648.92 / $1,086.11	Professional		$485.82	$648.92	$1,086.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $1,323.92	Facility		$944.53	$944.53	$1,323.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.53 / $1,402.13 / $1,752.66	Professional		$944.53	$1,402.13	$1,752.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.38 / $1,354.32 / $1,467.63	Professional		$1,143.38	$1,354.32	$1,467.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $756.08 / $1,428.65 / $5,632.19	Facility		$756.08	$1,428.65	$5,632.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.03 / $628.87 / $1,641.39	Professional		$539.03	$628.87	$1,641.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,320.05 / $1,323.92 / $1,641.39	Facility		$1,320.05	$1,323.92	$1,641.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,084.27 / $1,546.52 / $2,529.96	Professional		$1,084.27	$1,546.52	$2,529.96
United Facility/Professional Professional Modifier Low / Median / High Price $534.22 / $600.44 / $1,416.04	Professional		$534.22	$600.44	$1,416.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,179.49 / $1,179.49 / $1,179.49	Facility		$1,179.49	$1,179.49	$1,179.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $931.80 / $1,179.49 / $1,179.49	Professional		$931.80	$1,179.49	$1,179.49