Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.98 / $2,003.11 / $2,801.90	Facility		$1,109.98	$2,003.11	$2,801.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.82 / $792.84 / $1,163.85	Professional		$681.82	$792.84	$1,163.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.68 / $2,141.17 / $2,676.48	Professional		$1,067.68	$2,141.17	$2,676.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,872.54 / $2,277.00	Professional		$150.00	$1,872.54	$2,277.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.30 / $1,338.35 / $3,628.67	Facility		$361.30	$1,338.35	$3,628.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $1,150.51 / $2,572.00	Professional		$559.54	$1,150.51	$2,572.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.73 / $1,700.60 / $2,795.32	Facility		$871.73	$1,700.60	$2,795.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,180.53 / $1,731.77 / $2,795.32	Professional		$1,180.53	$1,731.77	$2,795.32
United Facility/Professional Professional Modifier Low / Median / High Price $559.54 / $616.91 / $2,015.19	Professional		$559.54	$616.91	$2,015.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40