Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Facility		$870.96	$870.96	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,148.15	Professional		$524.81	$776.25	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,584.89	Facility		$1,047.13	$1,047.13	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,187.76	Professional		$1,047.13	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,513.56	Professional		$1,258.93	$1,412.54	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $6,760.83	Facility		$954.99	$1,698.24	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $2,344.23	Professional		$630.96	$851.14	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $1,949.84	Professional		$1,548.82	$1,584.89	$1,949.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $2,344.23	Professional		$1,479.11	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $2,089.30	Facility		$489.78	$977.24	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,288.25	Professional		$630.96	$691.83	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,380.38	Professional		$1,096.48	$1,380.38	$1,380.38