Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.20 / $954.20 / $1,123.40	Facility		$954.20	$954.20	$1,123.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $845.58 / $1,590.31	Professional		$601.70	$845.58	$1,590.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $1,654.94	Facility		$888.38	$888.38	$1,654.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $1,592.25 / $1,990.31	Professional		$888.38	$1,592.25	$1,990.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.64 / $1,549.89 / $1,705.04	Professional		$1,304.64	$1,549.89	$1,705.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.12 / $1,826.11 / $7,400.81	Facility		$945.12	$1,826.11	$7,400.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $685.12 / $791.82 / $1,998.27	Professional		$685.12	$791.82	$1,998.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,650.10 / $1,654.94 / $2,086.26	Facility		$1,650.10	$1,654.94	$2,086.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,355.41 / $1,933.20 / $3,162.55	Professional		$1,355.41	$1,933.20	$3,162.55
United Facility/Professional Professional Modifier Low / Median / High Price $679.01 / $750.58 / $1,770.25	Professional		$679.01	$750.58	$1,770.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,474.40 / $1,474.40 / $1,474.40	Facility		$1,474.40	$1,474.40	$1,474.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,164.78 / $1,474.40 / $1,474.40	Professional		$1,164.78	$1,474.40	$1,474.40