Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.74 / $964.75 / $964.75	Facility		$792.74	$964.75	$964.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.22 / $684.49 / $973.18	Professional		$490.22	$684.49	$973.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,198.57	Facility		$680.86	$680.86	$1,198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.86 / $1,609.50 / $2,011.88	Professional		$680.86	$1,609.50	$2,011.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.10 / $1,219.84 / $1,388.47	Professional		$1,037.10	$1,219.84	$1,388.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.49 / $1,400.10 / $5,885.29	Facility		$684.49	$1,400.10	$5,885.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.90 / $614.14 / $1,488.72	Professional		$520.90	$614.14	$1,488.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,195.07 / $1,198.57 / $1,655.29	Facility		$1,195.07	$1,198.57	$1,655.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $981.64 / $1,416.49 / $2,290.46	Professional		$981.64	$1,416.49	$2,290.46
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $538.75 / $616.42	Facility		$0.87	$538.75	$616.42
United Facility/Professional Professional Modifier Low / Median / High Price $532.25 / $543.59 / $1,282.01	Professional		$532.25	$543.59	$1,282.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,067.82 / $1,067.82 / $1,067.82	Facility		$1,067.82	$1,067.82	$1,067.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $843.58 / $1,067.82 / $1,067.82	Professional		$843.58	$1,067.82	$1,067.82