Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.60 / $1,285.25 / $1,285.25	Facility		$1,112.60	$1,285.25	$1,285.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.50 / $810.61 / $1,285.25	Professional		$625.50	$810.61	$1,285.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,650.68	Facility		$843.35	$843.35	$1,650.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $1,779.00 / $2,223.75	Professional		$843.35	$1,779.00	$2,223.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.45 / $1,357.00 / $1,534.44	Professional		$1,130.45	$1,357.00	$1,534.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.97 / $1,928.22 / $7,017.00	Facility		$956.97	$1,928.22	$7,017.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $717.39 / $958.56 / $2,050.27	Professional		$717.39	$958.56	$2,050.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,645.85 / $1,650.68 / $2,050.33	Facility		$1,645.85	$1,650.68	$2,050.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,351.91 / $1,941.80 / $3,154.39	Professional		$1,351.91	$1,941.80	$3,154.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $3,509.10	Facility		$2,159.44	$2,159.44	$3,509.10
United Facility/Professional Professional Modifier Low / Median / High Price $717.39 / $800.92 / $1,966.67	Professional		$717.39	$800.92	$1,966.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,500.62 / $1,500.62 / $1,500.62	Facility		$1,500.62	$1,500.62	$1,500.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,185.49 / $1,500.62 / $1,500.62	Professional		$1,185.49	$1,500.62	$1,500.62