Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.97 / $854.97 / $990.19	Facility		$854.97	$854.97	$990.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.78 / $613.05 / $863.22	Professional		$427.78	$613.05	$863.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,122.81	Facility		$660.31	$660.31	$1,122.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.31 / $1,183.50 / $1,479.38	Professional		$660.31	$1,183.50	$1,479.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $989.98 / $1,200.04 / $1,440.54	Professional		$989.98	$1,200.04	$1,440.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.95 / $1,326.96 / $5,316.36	Facility		$650.95	$1,326.96	$5,316.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.70 / $678.98 / $1,394.63	Professional		$504.70	$678.98	$1,394.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,119.54 / $1,122.81 / $1,550.66	Facility		$1,119.54	$1,122.81	$1,550.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,311.61 / $2,145.67	Professional		$1,003.00	$1,311.61	$2,145.67
United Facility/Professional Professional Modifier Low / Median / High Price $504.70 / $574.74 / $1,200.96	Professional		$504.70	$574.74	$1,200.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,000.33 / $1,000.33 / $1,000.33	Facility		$1,000.33	$1,000.33	$1,000.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $1,000.33 / $1,000.33	Professional		$790.26	$1,000.33	$1,000.33