Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.58 / $1,079.40 / $1,079.40	Facility		$937.58	$1,079.40	$1,079.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.49 / $773.99 / $1,444.38	Professional		$575.49	$773.99	$1,444.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $1,417.56	Facility		$908.11	$908.11	$1,417.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.18 / $1,494.00 / $1,867.50	Professional		$1,205.18	$1,494.00	$1,867.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.85 / $1,586.04 / $1,903.89	Professional		$1,249.85	$1,586.04	$1,903.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.82 / $1,675.30 / $6,807.72	Facility		$821.82	$1,675.30	$6,807.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $637.17 / $857.22 / $1,760.72	Professional		$637.17	$857.22	$1,760.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,413.40 / $1,417.56 / $1,957.71	Facility		$1,413.40	$1,417.56	$1,957.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,160.99 / $1,655.90 / $2,708.92	Professional		$1,160.99	$1,655.90	$2,708.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,061.90 / $2,061.90 / $3,350.59	Facility		$2,061.90	$2,061.90	$3,350.59
United Facility/Professional Professional Modifier Low / Median / High Price $637.17 / $764.74 / $1,516.33	Professional		$637.17	$764.74	$1,516.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,262.92 / $1,262.92 / $1,262.92	Facility		$1,262.92	$1,262.92	$1,262.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $997.71 / $1,262.92 / $1,262.92	Professional		$997.71	$1,262.92	$1,262.92