Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $2,539.46 / $3,552.13	Facility		$1,305.36	$2,539.46	$3,552.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.05 / $1,227.05 / $3,528.01	Professional		$1,227.05	$1,227.05	$3,528.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.02 / $2,370.96 / $2,963.71	Professional		$1,500.02	$2,370.96	$2,963.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.56 / $1,696.98 / $2,362.71	Professional		$1,109.56	$1,696.98	$2,362.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,684.49 / $3,485.34	Facility		$1,305.36	$1,684.49	$3,485.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.22 / $783.22 / $3,002.35	Professional		$783.22	$783.22	$3,002.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.44 / $2,284.40 / $2,860.83	Facility		$1,566.44	$2,284.40	$2,860.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $2,284.40 / $2,860.83	Professional		$1,566.44	$2,284.40	$2,860.83
United Facility/Professional Professional Modifier Low / Median / High Price $783.22 / $783.22 / $2,845.71	Professional		$783.22	$783.22	$2,845.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,031.24 / $1,305.36 / $1,305.36	Professional		$1,031.24	$1,305.36	$1,305.36