Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.06 / $1,133.49 / $1,133.49	Facility		$924.06	$1,133.49	$1,133.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.25 / $675.11 / $1,077.56	Professional		$468.25	$675.11	$1,077.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,518.69	Facility		$702.38	$702.38	$1,518.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $1,569.00 / $1,961.25	Professional		$702.38	$1,569.00	$1,961.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.54 / $1,353.27 / $1,469.10	Professional		$1,173.54	$1,353.27	$1,469.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.45 / $1,774.04 / $5,917.02	Facility		$880.45	$1,774.04	$5,917.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.83 / $823.28 / $1,886.33	Professional		$636.83	$823.28	$1,886.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,514.24 / $1,518.69 / $1,820.16	Facility		$1,514.24	$1,518.69	$1,820.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,241.00 / $1,707.62 / $2,902.16	Professional		$1,241.00	$1,707.62	$2,902.16
United Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $688.78 / $1,314.10	Professional		$632.91	$688.78	$1,314.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,353.02 / $1,353.02 / $1,353.02	Facility		$1,353.02	$1,353.02	$1,353.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,068.89 / $1,353.02 / $1,353.02	Professional		$1,068.89	$1,353.02	$1,353.02