Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.77 / $1,055.77 / $1,089.49	Facility		$1,055.77	$1,055.77	$1,089.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.01 / $800.19 / $1,189.94	Professional		$552.01	$800.19	$1,189.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $1,479.71	Facility		$832.50	$832.50	$1,479.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $1,761.38 / $2,201.71	Professional		$832.50	$1,761.38	$2,201.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.93 / $1,528.04 / $1,655.88	Professional		$1,277.93	$1,528.04	$1,655.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.04 / $1,740.24 / $7,134.94	Facility		$845.04	$1,740.24	$7,134.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $643.08 / $750.93 / $1,837.90	Professional		$643.08	$750.93	$1,837.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,475.39 / $1,479.71 / $2,023.97	Facility		$1,475.39	$1,479.71	$2,023.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,276.49 / $1,748.75 / $2,827.66	Professional		$1,276.49	$1,748.75	$2,827.66
United Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $671.09 / $1,725.72	Professional		$658.74	$671.09	$1,725.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,318.29 / $1,318.29 / $1,318.29	Facility		$1,318.29	$1,318.29	$1,318.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,041.45 / $1,318.29 / $1,318.29	Professional		$1,041.45	$1,318.29	$1,318.29