Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.65 / $818.65 / $857.20	Facility		$818.65	$818.65	$857.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $707.64 / $1,053.70	Professional		$484.89	$707.64	$1,053.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,376.89	Facility		$736.22	$736.22	$1,376.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.22 / $1,365.75 / $1,707.19	Professional		$736.22	$1,365.75	$1,707.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.30 / $1,326.89 / $1,437.90	Professional		$1,119.30	$1,326.89	$1,437.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.32 / $1,567.39 / $6,310.18	Facility		$786.32	$1,567.39	$6,310.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.54 / $664.22 / $1,710.19	Professional		$582.54	$664.22	$1,710.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,372.85 / $1,376.89 / $1,789.89	Facility		$1,372.85	$1,376.89	$1,789.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,127.68 / $1,608.39 / $2,631.19	Professional		$1,127.68	$1,608.39	$2,631.19
United Facility/Professional Professional Modifier Low / Median / High Price $582.54 / $624.46 / $1,472.76	Professional		$582.54	$624.46	$1,472.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,189.13 / $1,189.13 / $1,189.13	Facility		$1,189.13	$1,189.13	$1,189.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $939.41 / $1,189.13 / $1,189.13	Professional		$939.41	$1,189.13	$1,189.13