Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.63 / $2,543.63 / $2,543.63	Facility		$2,543.63	$2,543.63	$2,543.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.18 / $2,717.01 / $3,484.42	Professional		$1,374.18	$2,717.01	$3,484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,682.58 / $4,243.88 / $5,304.84	Professional		$3,682.58	$4,243.88	$5,304.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $579.51 / $5,067.54	Professional		$576.00	$579.51	$5,067.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.46 / $3,643.96 / $17,132.59	Facility		$637.46	$3,643.96	$17,132.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.27 / $2,587.32 / $4,766.47	Professional		$660.27	$2,587.32	$4,766.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.60 / $695.41 / $1,506.73	Facility		$635.60	$695.41	$1,506.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.60 / $764.01 / $1,220.23	Professional		$635.60	$764.01	$1,220.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.34 / $2,587.32 / $5,188.81	Professional		$1,826.34	$2,587.32	$5,188.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,294.73 / $3,294.73 / $3,294.73	Facility		$3,294.73	$3,294.73	$3,294.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,294.73 / $3,294.73 / $3,294.73	Professional		$3,294.73	$3,294.73	$3,294.73