Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,000.00	Facility		$758.58	$758.58	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,047.13	Professional		$512.86	$724.44	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,348.96	Facility		$758.58	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $1,995.26	Professional		$758.58	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,412.54	Professional		$1,096.48	$1,288.25	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,548.82 / $6,309.57	Facility		$831.76	$1,548.82	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,995.26	Professional		$588.84	$776.25	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,819.70	Professional		$1,318.26	$1,380.38	$1,819.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $1,995.26	Professional		$1,380.38	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,949.84	Facility		$467.74	$794.33	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $1,148.15	Professional		$588.84	$602.56	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,174.90	Professional		$933.25	$1,174.90	$1,174.90