Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.47 / $730.47 / $886.73	Facility		$730.47	$730.47	$886.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $625.62 / $930.36	Professional		$454.24	$625.62	$930.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,152.01	Facility		$740.83	$740.83	$1,152.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.83 / $1,218.75 / $1,523.44	Professional		$740.83	$1,218.75	$1,523.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $994.92 / $1,144.19 / $1,239.92	Professional		$994.92	$1,144.19	$1,239.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.89 / $1,345.69 / $5,601.21	Facility		$657.89	$1,345.69	$5,601.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.66 / $587.12 / $1,430.88	Professional		$500.66	$587.12	$1,430.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,148.63 / $1,152.01 / $1,582.45	Facility		$1,148.63	$1,152.01	$1,582.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,038.92 / $1,361.46 / $2,201.44	Professional		$1,038.92	$1,361.46	$2,201.44
United Facility/Professional Professional Modifier Low / Median / High Price $500.66 / $522.47 / $1,366.70	Professional		$500.66	$522.47	$1,366.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,026.33 / $1,026.33 / $1,026.33	Facility		$1,026.33	$1,026.33	$1,026.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $810.80 / $1,026.33 / $1,026.33	Professional		$810.80	$1,026.33	$1,026.33