Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.66 / $990.68 / $990.68	Facility		$869.66	$990.68	$990.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $602.98 / $927.43	Professional		$420.36	$602.98	$927.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,307.09	Facility		$765.11	$765.11	$1,307.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $1,371.00 / $1,713.75	Professional		$765.11	$1,371.00	$1,713.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.08 / $1,188.27 / $1,368.80	Professional		$1,117.08	$1,188.27	$1,368.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $757.78 / $1,526.86 / $5,337.26	Facility		$757.78	$1,526.86	$5,337.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.29 / $716.76 / $1,623.51	Professional		$565.29	$716.76	$1,623.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,303.27 / $1,307.09 / $1,566.57	Facility		$1,303.27	$1,307.09	$1,566.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,070.52 / $1,525.17 / $2,497.83	Professional		$1,070.52	$1,525.17	$2,497.83
United Facility/Professional Professional Modifier Low / Median / High Price $566.39 / $592.80 / $1,398.13	Professional		$566.39	$592.80	$1,398.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,164.50 / $1,164.50 / $1,164.50	Facility		$1,164.50	$1,164.50	$1,164.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $919.96 / $1,164.50 / $1,164.50	Professional		$919.96	$1,164.50	$1,164.50