Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.83 / $1,169.51 / $1,169.51	Facility		$841.83	$1,169.51	$1,169.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.01 / $694.94 / $1,013.18	Professional		$482.01	$694.94	$1,013.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,411.33	Facility		$930.44	$930.44	$1,411.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.44 / $1,618.88 / $2,023.59	Professional		$930.44	$1,618.88	$2,023.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.82 / $1,396.26 / $1,550.03	Professional		$1,186.82	$1,396.26	$1,550.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.21 / $1,667.94 / $6,077.59	Facility		$818.21	$1,667.94	$6,077.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $613.37 / $806.38 / $1,753.00	Professional		$613.37	$806.38	$1,753.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,411.33 / $1,757.78	Facility		$1,407.20	$1,411.33	$1,757.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,155.89 / $1,648.63 / $2,697.02	Professional		$1,155.89	$1,648.63	$2,697.02
United Facility/Professional Professional Modifier Low / Median / High Price $613.37 / $686.64 / $1,681.52	Professional		$613.37	$686.64	$1,681.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,257.36 / $1,257.36 / $1,257.36	Facility		$1,257.36	$1,257.36	$1,257.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $993.32 / $1,257.36 / $1,257.36	Professional		$993.32	$1,257.36	$1,257.36