Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.69 / $799.69 / $848.12	Facility		$799.69	$799.69	$848.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.72 / $573.41 / $836.01	Professional		$397.72	$573.41	$836.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $1,400.30	Facility		$596.58	$596.58	$1,400.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.88 / $1,116.09 / $1,400.30	Professional		$892.88	$1,116.09	$1,400.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $1,177.49 / $1,273.00	Professional		$954.75	$1,177.49	$1,273.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.81 / $1,527.60 / $5,050.38	Facility		$811.81	$1,527.60	$5,050.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.57 / $717.49 / $1,668.36	Professional		$566.57	$717.49	$1,668.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,396.20 / $1,400.30 / $1,678.27	Facility		$1,396.20	$1,400.30	$1,678.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.97 / $1,508.00 / $2,675.93	Professional		$1,095.97	$1,508.00	$2,675.93
United Facility/Professional Facility Modifier Low / Median / High Price $393.39 / $629.41 / $717.65	Facility		$393.39	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $550.49 / $635.08 / $1,389.24	Professional		$550.49	$635.08	$1,389.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,247.54 / $1,247.54 / $1,247.54	Facility		$1,247.54	$1,247.54	$1,247.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $985.56 / $1,247.54 / $1,247.54	Professional		$985.56	$1,247.54	$1,247.54