Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.37 / $936.52 / $936.52	Facility		$861.37	$936.52	$936.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $692.77 / $1,020.59	Professional		$473.44	$692.77	$1,020.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,256.96	Facility		$714.02	$714.02	$1,256.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.02 / $1,562.63 / $1,953.28	Professional		$714.02	$1,562.63	$1,953.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.56 / $1,274.76 / $1,350.83	Professional		$1,085.56	$1,274.76	$1,350.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.84 / $1,468.30 / $6,061.86	Facility		$717.84	$1,468.30	$6,061.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.28 / $644.05 / $1,561.24	Professional		$546.28	$644.05	$1,561.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,253.28 / $1,256.96 / $1,735.91	Facility		$1,253.28	$1,256.96	$1,735.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,029.46 / $1,485.50 / $2,402.03	Professional		$1,029.46	$1,485.50	$2,402.03
United Facility/Professional Professional Modifier Low / Median / High Price $546.28 / $570.07 / $1,344.55	Professional		$546.28	$570.07	$1,344.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,119.83 / $1,119.83 / $1,119.83	Facility		$1,119.83	$1,119.83	$1,119.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $884.67 / $1,119.83 / $1,119.83	Professional		$884.67	$1,119.83	$1,119.83