Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $851.14	Facility		$794.33	$794.33	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,047.13	Professional		$489.78	$691.83	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,412.54	Facility		$741.31	$741.31	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $1,698.24	Professional		$741.31	$1,380.38	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,479.11	Professional		$1,000.00	$1,318.26	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $6,309.57	Facility		$851.14	$1,584.89	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $2,089.30	Professional		$588.84	$776.25	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,778.28	Professional		$1,380.38	$1,445.44	$1,778.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,089.30	Professional		$1,348.96	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $1,905.46	Facility		$457.09	$912.01	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,148.15	Professional		$588.84	$630.96	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,202.26	Professional		$933.25	$1,202.26	$1,202.26