Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.76 / $953.76 / $998.67	Facility		$953.76	$953.76	$998.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $824.42 / $1,415.73	Professional		$564.91	$824.42	$1,415.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $1,838.85	Facility		$857.71	$857.71	$1,838.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.71 / $1,591.50 / $1,989.38	Professional		$857.71	$1,591.50	$1,989.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.34 / $1,510.56 / $1,671.68	Professional		$1,337.34	$1,510.56	$1,671.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.15 / $1,924.89 / $7,331.22	Facility		$1,050.15	$1,924.89	$7,331.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.80 / $833.98 / $2,192.67	Professional		$684.80	$833.98	$2,192.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,833.47 / $1,838.85 / $2,203.88	Facility		$1,833.47	$1,838.85	$2,203.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,481.26 / $2,085.29 / $3,513.99	Professional		$1,481.26	$2,085.29	$3,513.99
United Facility/Professional Professional Modifier Low / Median / High Price $678.70 / $833.98 / $1,966.98	Professional		$678.70	$833.98	$1,966.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,638.25 / $1,638.25 / $1,638.25	Facility		$1,638.25	$1,638.25	$1,638.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,294.22 / $1,638.25 / $1,638.25	Professional		$1,294.22	$1,638.25	$1,638.25