Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Facility		$794.33	$794.33	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $870.96	Professional		$436.52	$549.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,148.15	Facility		$660.69	$660.69	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,479.11	Professional		$660.69	$1,174.90	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,445.44	Professional		$870.96	$1,202.26	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,318.26 / $5,370.32	Facility		$691.83	$1,318.26	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,698.24	Professional		$501.19	$741.31	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,548.82	Professional		$1,122.02	$1,174.90	$1,548.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $1,698.24	Professional		$1,174.90	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,659.59	Facility		$501.19	$776.25	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $933.25	Professional		$501.19	$537.03	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,000.00	Professional		$794.33	$1,000.00	$1,000.00