Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.68 / $1,447.68 / $1,679.91	Facility		$1,447.68	$1,447.68	$1,679.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.91 / $1,282.90 / $1,999.17	Professional		$1,020.91	$1,282.90	$1,999.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,452.11 / $1,775.98	Facility		$1,452.11	$1,452.11	$1,775.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.11 / $2,581.21 / $3,117.28	Professional		$1,452.11	$2,581.21	$3,117.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $531.97 / $3,134.98	Professional		$229.79	$531.97	$3,134.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.69 / $2,461.06 / $9,676.59	Facility		$320.69	$2,461.06	$9,676.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,004.16 / $1,232.08 / $2,753.90	Professional		$1,004.16	$1,232.08	$2,753.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $320.69 / $320.69 / $758.00	Facility		$320.69	$320.69	$758.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.60 / $396.73 / $758.00	Professional		$318.60	$396.73	$758.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.56 / $1,232.08 / $2,753.90	Professional		$1,005.56	$1,232.08	$2,753.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,623.86 / $2,623.86 / $2,623.86	Facility		$2,623.86	$2,623.86	$2,623.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,072.85 / $2,623.86 / $2,623.86	Professional		$2,072.85	$2,623.86	$2,623.86