Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $2,893.52 / $4,047.38	Facility		$1,487.37	$2,893.52	$4,047.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.66 / $1,145.27 / $4,019.90	Professional		$981.66	$1,145.27	$4,019.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $2,701.29 / $3,376.61	Professional		$1,708.99	$2,701.29	$3,376.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $2,231.06 / $2,983.32	Professional		$1,264.26	$2,231.06	$2,983.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,145.27 / $1,919.34 / $5,838.46	Facility		$1,145.27	$1,919.34	$5,838.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $892.42 / $1,338.63 / $3,761.56	Professional		$892.42	$1,338.63	$3,761.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,786.32 / $2,831.55 / $5,838.46	Facility		$1,786.32	$2,831.55	$5,838.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,784.84 / $2,727.24 / $3,792.79	Professional		$1,784.84	$2,727.24	$3,792.79
United Facility/Professional Professional Modifier Low / Median / High Price $892.42 / $892.42 / $3,045.39	Professional		$892.42	$892.42	$3,045.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,175.02 / $1,487.37 / $1,487.37	Professional		$1,175.02	$1,487.37	$1,487.37