Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $954.99	Facility		$831.76	$831.76	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,174.90	Professional		$562.34	$724.44	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,479.11	Facility		$831.76	$831.76	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $1,905.46	Professional		$831.76	$1,548.82	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,778.28	Professional		$1,122.02	$1,621.81	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $7,079.46	Facility		$891.25	$1,698.24	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $2,187.76	Professional		$630.96	$831.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,995.26	Professional		$1,445.44	$1,513.56	$1,995.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,187.76	Professional		$1,513.56	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,096.48 / $2,137.96	Facility		$501.19	$1,096.48	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,202.26	Professional		$630.96	$660.69	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,288.25	Professional		$1,023.29	$1,288.25	$1,288.25