Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.96 / $931.96 / $1,060.66	Facility		$931.96	$931.96	$1,060.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.48 / $656.70 / $957.41	Professional		$455.48	$656.70	$957.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,603.64	Facility		$719.79	$719.79	$1,603.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.79 / $1,290.00 / $1,612.50	Professional		$719.79	$1,290.00	$1,612.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.67 / $1,457.85 / $1,629.10	Professional		$1,112.67	$1,457.85	$1,629.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.69 / $1,749.42 / $5,694.72	Facility		$929.69	$1,749.42	$5,694.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.85 / $818.22 / $1,910.64	Professional		$648.85	$818.22	$1,910.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,598.94 / $1,603.64 / $1,921.97	Facility		$1,598.94	$1,603.64	$1,921.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.11 / $1,726.99 / $3,064.50	Professional		$1,255.11	$1,726.99	$3,064.50
United Facility/Professional Professional Modifier Low / Median / High Price $630.42 / $727.31 / $1,910.64	Professional		$630.42	$727.31	$1,910.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,428.69 / $1,428.69 / $1,428.69	Facility		$1,428.69	$1,428.69	$1,428.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,128.67 / $1,428.69 / $1,428.69	Professional		$1,128.67	$1,428.69	$1,428.69