Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.34 / $906.81 / $906.81	Facility		$830.34	$906.81	$906.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $685.46 / $1,019.34	Professional		$513.46	$685.46	$1,019.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,337.02	Facility		$713.15	$713.15	$1,337.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.15 / $1,513.13 / $1,891.41	Professional		$713.15	$1,513.13	$1,891.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.83 / $1,273.32 / $1,349.30	Professional		$1,115.83	$1,273.32	$1,349.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.55 / $1,541.58 / $6,073.14	Facility		$763.55	$1,541.58	$6,073.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.29 / $644.99 / $1,660.68	Professional		$564.29	$644.99	$1,660.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.10 / $1,337.02 / $1,733.79	Facility		$1,333.10	$1,337.02	$1,733.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.02 / $1,580.11 / $2,555.02	Professional		$1,095.02	$1,580.11	$2,555.02
United Facility/Professional Professional Modifier Low / Median / High Price $569.38 / $606.38 / $1,430.07	Professional		$569.38	$606.38	$1,430.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,191.16 / $1,191.16 / $1,191.16	Facility		$1,191.16	$1,191.16	$1,191.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $941.02 / $1,191.16 / $1,191.16	Professional		$941.02	$1,191.16	$1,191.16