Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.79 / $1,087.33 / $1,087.33	Facility		$954.79	$1,087.33	$1,087.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.69 / $696.50 / $1,097.13	Professional		$543.69	$696.50	$1,097.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,420.96	Facility		$724.63	$724.63	$1,420.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.63 / $1,504.88 / $1,881.09	Professional		$724.63	$1,504.88	$1,881.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.25 / $1,305.16 / $1,596.54	Professional		$1,233.25	$1,305.16	$1,596.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.79 / $1,679.31 / $6,045.06	Facility		$823.79	$1,679.31	$6,045.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $808.17 / $1,764.93	Professional		$617.54	$808.17	$1,764.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,416.79 / $1,420.96 / $1,761.70	Facility		$1,416.79	$1,420.96	$1,761.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.76 / $1,659.87 / $2,715.40	Professional		$1,163.76	$1,659.87	$2,715.40
United Facility/Professional Professional Modifier Low / Median / High Price $595.85 / $685.48 / $1,687.61	Professional		$595.85	$685.48	$1,687.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,265.94 / $1,265.94 / $1,265.94	Facility		$1,265.94	$1,265.94	$1,265.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.09 / $1,265.94 / $1,265.94	Professional		$1,000.09	$1,265.94	$1,265.94