Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $851.14	Professional		$741.31	$741.31	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $302.00	Facility		$190.55	$245.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,202.26	Professional		$741.31	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $870.96 / $1,659.59	Professional		$275.42	$870.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,511.89	Facility		$812.83	$1,122.02	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,041.74	Professional		$812.83	$812.83	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,511.89	Professional		$977.24	$1,122.02	$2,511.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $302.00	Facility		$204.17	$257.04	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $933.25 / $1,548.82	Facility		$0.93	$933.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $933.25 / $1,862.09	Professional		$125.89	$933.25	$1,862.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31