Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Facility		$870.96	$870.96	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,230.27	Professional		$588.84	$741.31	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,548.82	Facility		$977.24	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $1,995.26	Professional		$977.24	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,698.24	Professional		$1,174.90	$1,584.89	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $7,079.46	Facility		$933.25	$1,778.28	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,290.87	Professional		$660.69	$870.96	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $2,089.30	Professional		$1,513.56	$1,584.89	$2,089.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,290.87	Professional		$1,584.89	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,148.15 / $2,238.72	Facility		$524.81	$1,148.15	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $1,258.93	Professional		$676.08	$691.83	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,348.96	Professional		$1,071.52	$1,348.96	$1,348.96