Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.43 / $965.43 / $1,118.10	Facility		$965.43	$965.43	$1,118.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.15 / $692.26 / $1,009.27	Professional		$480.15	$692.26	$1,009.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,496.31	Facility		$812.21	$812.21	$1,496.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.21 / $1,336.13 / $1,670.16	Professional		$812.21	$1,336.13	$1,670.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.61 / $1,300.41 / $1,444.91	Professional		$1,152.61	$1,300.41	$1,444.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.48 / $1,747.90 / $6,156.07	Facility		$867.48	$1,747.90	$6,156.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.00 / $822.89 / $1,782.76	Professional		$649.00	$822.89	$1,782.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,491.93 / $1,496.31 / $1,793.34	Facility		$1,491.93	$1,496.31	$1,793.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,225.49 / $1,747.90 / $2,859.41	Professional		$1,225.49	$1,747.90	$2,859.41
United Facility/Professional Professional Modifier Low / Median / High Price $664.58 / $678.63 / $1,498.41	Professional		$664.58	$678.63	$1,498.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,333.07 / $1,333.07 / $1,333.07	Facility		$1,333.07	$1,333.07	$1,333.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,053.13 / $1,333.07 / $1,333.07	Professional		$1,053.13	$1,333.07	$1,333.07