Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.77 / $1,899.77 / $2,287.42	Facility		$1,899.77	$1,899.77	$2,287.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,743.08 / $2,623.49	Professional		$1,047.08	$1,743.08	$2,623.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,128.37	Facility		$1,950.00	$1,950.00	$3,128.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $3,128.37 / $4,514.06	Professional		$1,950.00	$3,128.37	$4,514.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.55 / $496.76 / $4,372.60	Professional		$301.55	$496.76	$4,372.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.33 / $3,692.86 / $17,045.09	Facility		$359.33	$3,692.86	$17,045.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,085.77 / $1,447.70 / $3,348.45	Professional		$1,085.77	$1,447.70	$3,348.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $359.33 / $359.33 / $849.32	Facility		$359.33	$359.33	$849.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $443.27 / $849.32	Professional		$356.63	$443.27	$849.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.17 / $1,253.32 / $3,113.21	Professional		$1,135.17	$1,253.32	$3,113.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,939.94 / $2,939.94 / $2,939.94	Facility		$2,939.94	$2,939.94	$2,939.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,322.55 / $2,939.94 / $2,939.94	Professional		$2,322.55	$2,939.94	$2,939.94