Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.52 / $1,034.52 / $1,095.10	Facility		$1,034.52	$1,034.52	$1,095.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.05 / $798.83 / $1,337.00	Professional		$598.05	$798.83	$1,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,629.73	Facility		$831.10	$831.10	$1,629.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,726.13 / $2,157.66	Professional		$831.10	$1,726.13	$2,157.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.49 / $1,524.00 / $1,651.50	Professional		$1,407.49	$1,524.00	$1,651.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.73 / $1,758.68 / $6,933.23	Facility		$930.73	$1,758.68	$6,933.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.63 / $763.78 / $2,024.27	Professional		$657.63	$763.78	$2,024.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,624.97 / $1,629.73 / $2,020.57	Facility		$1,624.97	$1,629.73	$2,020.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,334.76 / $1,903.76 / $3,114.41	Professional		$1,334.76	$1,903.76	$3,114.41
United Facility/Professional Professional Modifier Low / Median / High Price $663.55 / $739.15 / $1,268.86	Professional		$663.55	$739.15	$1,268.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,407.49 / $1,407.49 / $1,407.49	Facility		$1,407.49	$1,407.49	$1,407.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,111.92 / $1,407.49 / $1,407.49	Professional		$1,111.92	$1,407.49	$1,407.49