Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.22 / $1,042.58 / $1,042.58	Facility		$929.22	$1,042.58	$1,042.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.75 / $771.23 / $1,140.28	Professional		$524.75	$771.23	$1,140.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,541.57	Facility		$1,057.34	$1,057.34	$1,541.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.34 / $1,739.63 / $2,174.53	Professional		$1,057.34	$1,739.63	$2,174.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,410.87 / $1,500.51	Professional		$1,275.43	$1,410.87	$1,500.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.37 / $1,772.40 / $6,718.33	Facility		$880.37	$1,772.40	$6,718.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.11 / $735.18 / $1,914.76	Professional		$636.11	$735.18	$1,914.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,537.06 / $1,541.57 / $1,937.01	Facility		$1,537.06	$1,541.57	$1,937.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,262.57 / $1,800.77 / $2,945.92	Professional		$1,262.57	$1,800.77	$2,945.92
United Facility/Professional Professional Modifier Low / Median / High Price $630.44 / $699.16 / $1,838.20	Professional		$630.44	$699.16	$1,838.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,373.40 / $1,373.40 / $1,373.40	Facility		$1,373.40	$1,373.40	$1,373.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,084.99 / $1,373.40 / $1,373.40	Professional		$1,084.99	$1,373.40	$1,373.40