Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.09 / $1,133.33 / $1,133.33	Facility		$877.09	$1,133.33	$1,133.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $660.69 / $1,011.46	Professional		$481.19	$660.69	$1,011.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,424.89	Facility		$875.29	$875.29	$1,424.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $1,568.63 / $1,960.78	Professional		$875.29	$1,568.63	$1,960.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.11 / $1,328.64 / $1,407.36	Professional		$1,155.11	$1,328.64	$1,407.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.06 / $1,664.46 / $5,634.02	Facility		$826.06	$1,664.46	$5,634.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $788.04 / $1,769.82	Professional		$610.17	$788.04	$1,769.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.71 / $1,424.89 / $1,707.74	Facility		$1,420.71	$1,424.89	$1,707.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,646.25 / $2,722.92	Professional		$1,157.00	$1,646.25	$2,722.92
United Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $646.24 / $1,524.11	Professional		$610.17	$646.24	$1,524.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,269.44 / $1,269.44 / $1,269.44	Facility		$1,269.44	$1,269.44	$1,269.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,002.86 / $1,269.44 / $1,269.44	Professional		$1,002.86	$1,269.44	$1,269.44