Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Facility		$691.83	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $954.99	Professional		$436.52	$575.44	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,318.26	Facility		$616.60	$616.60	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,445.44	Professional		$616.60	$1,148.15	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,174.90	Professional		$954.99	$1,071.52	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $5,248.07	Facility		$812.83	$1,348.96	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,995.26	Professional		$501.19	$724.44	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $1,548.82	Professional		$1,288.25	$1,348.96	$1,548.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $1,995.26	Professional		$1,148.15	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,621.81	Facility		$380.19	$660.69	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,023.29	Professional		$501.19	$588.84	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,122.02	Professional		$891.25	$1,122.02	$1,122.02