Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.99 / $1,159.42 / $1,159.42	Facility		$877.99	$1,159.42	$1,159.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.88 / $675.89 / $1,006.60	Professional		$478.88	$675.89	$1,006.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,347.58	Facility		$895.43	$895.43	$1,347.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.43 / $1,604.63 / $2,005.78	Professional		$895.43	$1,604.63	$2,005.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,384.22 / $1,503.32	Professional		$1,163.82	$1,384.22	$1,503.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.25 / $1,592.59 / $5,814.95	Facility		$781.25	$1,592.59	$5,814.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.65 / $777.00 / $1,673.80	Professional		$585.65	$777.00	$1,673.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,343.63 / $1,347.58 / $1,693.76	Facility		$1,343.63	$1,347.58	$1,693.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,103.66 / $1,574.15 / $2,575.19	Professional		$1,103.66	$1,574.15	$2,575.19
United Facility/Professional Professional Modifier Low / Median / High Price $565.07 / $695.77 / $1,605.55	Professional		$565.07	$695.77	$1,605.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,200.57 / $1,200.57 / $1,200.57	Facility		$1,200.57	$1,200.57	$1,200.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $948.45 / $1,200.57 / $1,200.57	Professional		$948.45	$1,200.57	$1,200.57