Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $3,630.78	Facility		$1,000.00	$2,454.71	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,548.82	Professional		$912.01	$1,023.29	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,162.28	Professional		$1,862.09	$2,511.89	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,621.81 / $2,344.23	Professional		$151.36	$1,621.81	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,311.31	Facility		$1,318.26	$1,548.82	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $2,884.03	Professional		$776.25	$776.25	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Professional		$1,584.89	$1,584.89	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,884.03	Facility		$1,318.26	$1,318.26	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $2,818.38	Professional		$776.25	$776.25	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,318.26	Professional		$1,023.29	$1,318.26	$1,318.26