Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,122.02	Facility		$933.25	$1,071.52	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,071.52	Professional		$478.63	$676.08	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,548.82	Facility		$707.95	$707.95	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $1,949.84	Professional		$707.95	$1,584.89	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,479.11	Professional		$1,148.15	$1,380.38	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $5,888.44	Facility		$933.25	$1,698.24	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $2,290.87	Professional		$645.65	$870.96	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,778.28	Professional		$1,513.56	$1,584.89	$1,778.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $2,290.87	Professional		$1,288.25	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $870.96 / $1,819.70	Facility		$549.54	$870.96	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,258.93	Professional		$630.96	$691.83	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,348.96	Professional		$1,071.52	$1,348.96	$1,348.96