Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.14 / $1,127.14 / $1,305.40	Facility		$1,127.14	$1,127.14	$1,305.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.58 / $808.22 / $1,131.20	Professional		$560.58	$808.22	$1,131.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,480.25	Facility		$870.50	$870.50	$1,480.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.50 / $1,560.00 / $1,950.00	Professional		$870.50	$1,560.00	$1,950.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.14 / $2,871.93 / $3,447.48	Professional		$1,305.14	$2,871.93	$3,447.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.16 / $1,774.09 / $7,424.54	Facility		$858.16	$1,774.09	$7,424.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $665.36 / $895.13 / $1,838.59	Professional		$665.36	$895.13	$1,838.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,475.92 / $1,480.25 / $2,044.29	Facility		$1,475.92	$1,480.25	$2,044.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.00 / $1,729.13 / $2,828.73	Professional		$1,339.00	$1,729.13	$2,828.73
United Facility/Professional Professional Modifier Low / Median / High Price $665.36 / $775.90 / $1,583.39	Professional		$665.36	$775.90	$1,583.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,318.77 / $1,318.77 / $1,318.77	Facility		$1,318.77	$1,318.77	$1,318.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,041.83 / $1,318.77 / $1,318.77	Professional		$1,041.83	$1,318.77	$1,318.77