Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Facility		$660.69	$660.69	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $977.24	Professional		$467.74	$660.69	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,174.90	Facility		$776.25	$776.25	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,584.89 / $1,949.84	Professional		$776.25	$1,584.89	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,348.96	Professional		$1,000.00	$1,202.26	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,348.96 / $5,623.41	Facility		$707.95	$1,348.96	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,949.84	Professional		$512.86	$660.69	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,584.89	Professional		$1,148.15	$1,202.26	$1,584.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $1,737.80	Professional		$1,202.26	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,698.24	Facility		$398.11	$794.33	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $1,000.00	Professional		$512.86	$524.81	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,023.29	Professional		$812.83	$1,023.29	$1,023.29