Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.11 / $1,376.11 / $1,593.29	Facility		$1,376.11	$1,376.11	$1,593.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.72 / $1,212.97 / $1,900.34	Professional		$966.72	$1,212.97	$1,900.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,293.24 / $1,762.01	Facility		$1,293.24	$1,293.24	$1,762.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.01 / $2,310.00 / $2,887.50	Professional		$1,762.01	$2,310.00	$2,887.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $473.76 / $2,792.38	Professional		$218.43	$473.76	$2,792.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $297.04 / $2,339.39 / $9,600.49	Facility		$297.04	$2,339.39	$9,600.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.82 / $1,097.30 / $2,467.76	Professional		$899.82	$1,097.30	$2,467.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $297.04 / $297.04 / $702.10	Facility		$297.04	$297.04	$702.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.04 / $367.24 / $702.10	Professional		$295.04	$367.24	$702.10
United Facility/Professional Facility Modifier Low / Median / High Price $110.10 / $896.13 / $1,540.91	Facility		$110.10	$896.13	$1,540.91
United Facility/Professional Professional Modifier Low / Median / High Price $901.08 / $1,076.26 / $2,467.76	Professional		$901.08	$1,076.26	$2,467.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,430.36 / $2,430.36 / $2,430.36	Facility		$2,430.36	$2,430.36	$2,430.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,919.98 / $2,430.36 / $2,430.36	Professional		$1,919.98	$2,430.36	$2,430.36