Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.94 / $976.94 / $1,034.17	Facility		$976.94	$976.94	$1,034.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.78 / $754.38 / $1,262.58	Professional		$564.78	$754.38	$1,262.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,539.04	Facility		$907.46	$907.46	$1,539.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $1,630.13 / $2,037.66	Professional		$907.46	$1,630.13	$2,037.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.86 / $1,399.13 / $1,435.70	Professional		$1,324.86	$1,399.13	$1,435.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.94 / $1,660.80 / $6,547.41	Facility		$878.94	$1,660.80	$6,547.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $621.04 / $721.28 / $1,911.62	Professional		$621.04	$721.28	$1,911.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,534.55 / $1,539.04 / $1,908.11	Facility		$1,534.55	$1,539.04	$1,908.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,260.49 / $1,797.82 / $2,941.06	Professional		$1,260.49	$1,797.82	$2,941.06
United Facility/Professional Professional Modifier Low / Median / High Price $621.04 / $698.01 / $1,646.21	Professional		$621.04	$698.01	$1,646.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,329.17 / $1,329.17 / $1,329.17	Facility		$1,329.17	$1,329.17	$1,329.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,050.04 / $1,329.17 / $1,329.17	Professional		$1,050.04	$1,329.17	$1,329.17