Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.99 / $1,108.99 / $1,395.89	Facility		$1,108.99	$1,108.99	$1,395.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.54 / $1,063.44 / $1,570.09	Professional		$764.54	$1,063.44	$1,570.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,799.38	Facility		$1,122.47	$1,122.47	$1,799.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,462.70 / $2,596.88	Professional		$341.57	$1,462.70	$2,596.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $349.79 / $2,061.78	Professional		$183.94	$349.79	$2,061.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.93 / $1,885.28 / $9,804.04	Facility		$230.93	$1,885.28	$9,804.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.14 / $956.86 / $2,321.42	Professional		$675.14	$956.86	$2,321.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $230.93 / $545.84	Facility		$222.90	$230.93	$545.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $275.23 / $545.84	Professional		$221.31	$275.23	$545.84
United Facility/Professional Professional Modifier Low / Median / High Price $799.99 / $877.68 / $2,193.98	Professional		$799.99	$877.68	$2,193.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,889.46 / $1,889.46 / $1,889.46	Facility		$1,889.46	$1,889.46	$1,889.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,492.67 / $1,889.46 / $1,889.46	Professional		$1,492.67	$1,889.46	$1,889.46