Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,096.48	Facility		$851.14	$851.14	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,174.90	Professional		$562.34	$794.33	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,513.56	Facility		$831.76	$831.76	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,778.28 / $2,187.76	Professional		$831.76	$1,778.28	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,659.59	Professional		$1,288.25	$1,548.82	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $7,079.46	Facility		$912.01	$1,737.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $2,238.72	Professional		$645.65	$851.14	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $2,041.74	Professional		$1,479.11	$1,548.82	$2,041.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $891.25 / $2,187.76	Facility		$512.86	$891.25	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $1,258.93	Professional		$645.65	$676.08	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,318.26	Professional		$1,047.13	$1,318.26	$1,318.26