Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.61 / $953.61 / $1,331.37	Facility		$953.61	$953.61	$1,331.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.64 / $824.30 / $1,225.80	Professional		$568.64	$824.30	$1,225.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,509.70	Facility		$969.19	$969.19	$1,509.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.54 / $1,591.13 / $1,988.91	Professional		$1,283.54	$1,591.13	$1,988.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.83 / $1,543.78 / $1,668.01	Professional		$1,303.83	$1,543.78	$1,668.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $862.16 / $1,763.52 / $7,148.16	Facility		$862.16	$1,763.52	$7,148.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $773.55 / $1,875.17	Professional		$656.12	$773.55	$1,875.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,505.26 / $1,509.70 / $2,084.96	Facility		$1,505.26	$1,509.70	$2,084.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,341.00 / $1,763.52 / $2,885.00	Professional		$1,341.00	$1,763.52	$2,885.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $684.70 / $1,614.87	Professional		$656.12	$684.70	$1,614.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $1,345.00 / $1,345.00	Facility		$1,345.00	$1,345.00	$1,345.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,062.55 / $1,345.00 / $1,345.00	Professional		$1,062.55	$1,345.00	$1,345.00