Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.57 / $922.57 / $957.06	Facility		$922.57	$922.57	$957.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.03 / $790.07 / $1,174.91	Professional		$545.03	$790.07	$1,174.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,447.01	Facility		$830.86	$830.86	$1,447.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.86 / $1,539.38 / $1,924.22	Professional		$830.86	$1,539.38	$1,924.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.69 / $1,538.18 / $1,763.80	Professional		$1,249.69	$1,538.18	$1,763.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.37 / $1,690.31 / $7,008.49	Facility		$826.37	$1,690.31	$7,008.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.88 / $741.44 / $1,797.30	Professional		$628.88	$741.44	$1,797.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,442.78 / $1,447.01 / $1,998.38	Facility		$1,442.78	$1,447.01	$1,998.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,185.10 / $1,690.31 / $2,765.22	Professional		$1,185.10	$1,690.31	$2,765.22
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $628.88 / $657.34 / $1,547.87	Professional		$628.88	$657.34	$1,547.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,289.15 / $1,289.15 / $1,289.15	Facility		$1,289.15	$1,289.15	$1,289.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,018.43 / $1,289.15 / $1,289.15	Professional		$1,018.43	$1,289.15	$1,289.15