Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,786.43 / $3,786.43 / $4,562.43	Facility		$3,786.43	$3,786.43	$4,562.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,731.19 / $3,530.90 / $5,228.87	Professional		$2,731.19	$3,530.90	$5,228.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $3,417.67 / $3,952.20	Facility		$200.00	$3,417.67	$3,952.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $6,495.00 / $8,118.75	Professional		$200.00	$6,495.00	$8,118.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $601.02 / $1,252.02 / $7,378.85	Professional		$601.02	$1,252.02	$7,378.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.11 / $6,436.93 / $21,533.82	Facility		$818.11	$6,436.93	$21,533.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,386.06 / $2,899.80 / $6,543.76	Professional		$2,386.06	$2,899.80	$6,543.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $818.11 / $818.11 / $1,933.72	Facility		$818.11	$818.11	$1,933.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.39 / $1,010.77 / $1,933.72	Professional		$812.39	$1,010.77	$1,933.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,389.40 / $2,634.40 / $5,937.65	Professional		$2,389.40	$2,634.40	$5,937.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,693.66 / $6,693.66 / $6,693.66	Facility		$6,693.66	$6,693.66	$6,693.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,287.99 / $6,693.66 / $6,693.66	Professional		$5,287.99	$6,693.66	$6,693.66