Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.28 / $1,045.28 / $1,106.52	Facility		$1,045.28	$1,045.28	$1,106.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.28 / $807.15 / $1,350.93	Professional		$604.28	$807.15	$1,350.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,646.70	Facility		$1,038.85	$1,038.85	$1,646.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,744.13 / $2,180.16	Professional		$1,038.85	$1,744.13	$2,180.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.15 / $1,497.00 / $1,541.40	Professional		$1,422.15	$1,497.00	$1,541.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.41 / $1,776.98 / $7,005.45	Facility		$940.41	$1,776.98	$7,005.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.46 / $774.87 / $2,041.59	Professional		$670.46	$774.87	$2,041.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,641.88 / $1,646.70 / $2,041.59	Facility		$1,641.88	$1,646.70	$2,041.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.66 / $1,923.56 / $3,146.81	Professional		$1,348.66	$1,923.56	$3,146.81
United Facility/Professional Professional Modifier Low / Median / High Price $664.48 / $746.83 / $1,955.69	Professional		$664.48	$746.83	$1,955.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,467.06 / $1,467.06 / $1,467.06	Facility		$1,467.06	$1,467.06	$1,467.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,158.98 / $1,467.06 / $1,467.06	Professional		$1,158.98	$1,467.06	$1,467.06