Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,122.02	Facility		$954.99	$954.99	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,548.82	Professional		$645.65	$831.76	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $1,995.26	Professional		$891.25	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,698.24	Professional		$1,288.25	$1,584.89	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,413.10	Facility		$1,023.29	$1,819.70	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $2,511.89	Professional		$691.83	$912.01	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,089.30	Professional		$1,659.59	$1,737.80	$2,089.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $2,511.89	Professional		$1,584.89	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $2,238.72	Facility		$524.81	$912.01	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,380.38	Professional		$691.83	$758.58	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,479.11	Professional		$1,174.90	$1,479.11	$1,479.11