Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.90 / $1,050.72 / $1,050.72	Facility		$113.90	$1,050.72	$1,050.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $1,048.94 / $1,392.55	Professional		$52.52	$1,048.94	$1,392.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $1,803.48	Facility		$120.00	$120.00	$1,803.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $1,910.25 / $2,387.81	Professional		$120.00	$1,910.25	$2,387.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $200.16 / $1,647.63	Professional		$167.58	$200.16	$1,647.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $2,114.84 / $7,674.31	Facility		$172.28	$2,114.84	$7,674.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $85.63 / $1,560.53	Professional		$74.20	$85.63	$1,560.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,798.20 / $1,803.48 / $2,161.48	Facility		$1,798.20	$1,803.48	$2,161.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $1,798.20 / $2,236.56	Professional		$212.01	$1,798.20	$2,236.56
United Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $77.33 / $210.74	Professional		$69.12	$77.33	$210.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,475.58 / $1,475.58 / $1,475.58	Facility		$1,475.58	$1,475.58	$1,475.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,165.71 / $1,475.58 / $1,475.58	Professional		$1,165.71	$1,475.58	$1,475.58