Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $3,467.37	Professional		$1,905.46	$3,019.95	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Professional		$4,265.80	$4,265.80	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $5,011.87	Professional		$467.74	$575.44	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $16,982.44	Facility		$630.96	$3,090.30	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,754.23 / $5,248.07	Professional		$630.96	$2,754.23	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $9,549.93	Professional		$3,981.07	$4,677.35	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $6,456.54	Professional		$1,819.70	$3,019.95	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31