Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $2,630.27	Facility		$724.44	$1,819.70	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,148.15	Professional		$630.96	$758.58	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $2,691.53	Facility		$2,570.40	$2,630.27	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,290.87	Professional		$1,348.96	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,174.90 / $1,737.80	Professional		$151.36	$1,174.90	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,511.89	Facility		$954.99	$1,148.15	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,187.76	Professional		$575.44	$575.44	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,089.30	Facility		$954.99	$954.99	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,089.30	Professional		$575.44	$575.44	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $954.99	Professional		$758.58	$954.99	$954.99