Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.98 / $2,525.98 / $2,601.76	Facility		$2,525.98	$2,525.98	$2,601.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,525.98	Professional		$2,020.78	$2,020.78	$2,525.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,059.90 / $2,575.88 / $3,219.84	Professional		$2,059.90	$2,575.88	$3,219.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,221.92 / $4,021.68	Professional		$150.00	$2,221.92	$4,021.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.48 / $772.64 / $3,072.71	Facility		$443.48	$772.64	$3,072.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.90 / $2,104.98 / $2,597.55	Professional		$519.90	$2,104.98	$2,597.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.50 / $657.16 / $1,545.28	Facility		$380.50	$657.16	$1,545.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.50 / $519.90 / $764.63	Professional		$380.50	$519.90	$764.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,315.48	Professional		$2,104.98	$2,104.98	$2,315.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,662.93 / $2,104.98 / $2,104.98	Professional		$1,662.93	$2,104.98	$2,104.98