Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.97 / $1,068.97 / $1,102.19	Facility		$1,068.97	$1,068.97	$1,102.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.48 / $810.24 / $1,369.12	Professional		$609.48	$810.24	$1,369.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $1,483.96	Facility		$842.96	$842.96	$1,483.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $1,783.50 / $2,229.38	Professional		$842.96	$1,783.50	$2,229.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.59 / $1,499.36 / $1,575.18	Professional		$1,281.59	$1,499.36	$1,575.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.47 / $1,733.45 / $7,102.37	Facility		$847.47	$1,733.45	$7,102.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.92 / $760.36 / $1,843.19	Professional		$644.92	$760.36	$1,843.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,483.96 / $1,498.00 / $2,049.40	Facility		$1,483.96	$1,498.00	$2,049.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,291.33 / $1,753.77 / $2,835.79	Professional		$1,291.33	$1,753.77	$2,835.79
United Facility/Professional Professional Modifier Low / Median / High Price $644.92 / $673.03 / $1,587.23	Professional		$644.92	$673.03	$1,587.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,322.07 / $1,322.07 / $1,322.07	Facility		$1,322.07	$1,322.07	$1,322.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,044.44 / $1,322.07 / $1,322.07	Professional		$1,044.44	$1,322.07	$1,322.07