Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.86 / $947.98 / $947.98	Facility		$947.86	$947.98	$947.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $896.22 / $947.98	Professional		$444.87	$896.22	$947.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.54 / $1,276.54 / $1,276.54	Facility		$1,276.54	$1,276.54	$1,276.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.13 / $1,640.16 / $3,065.20	Professional		$1,312.13	$1,640.16	$3,065.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.38 / $1,437.63 / $3,363.00	Professional		$1,077.38	$1,437.63	$3,363.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.02 / $1,723.81 / $5,682.97	Facility		$750.02	$1,723.81	$5,682.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $598.25 / $1,646.86	Professional		$535.29	$598.25	$1,646.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $1,276.54 / $2,262.96	Facility		$1,109.00	$1,276.54	$2,262.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $971.74 / $1,155.80 / $2,262.96	Professional		$971.74	$1,155.80	$2,262.96
United Facility/Professional Professional Modifier Low / Median / High Price $535.29 / $578.95 / $1,585.56	Professional		$535.29	$578.95	$1,585.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,964.00 / $2,964.00 / $2,964.00	Facility		$2,964.00	$2,964.00	$2,964.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,341.56 / $2,964.00 / $2,964.00	Professional		$2,341.56	$2,964.00	$2,964.00