Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,968.56 / $3,968.56 / $4,782.39	Facility		$3,968.56	$3,968.56	$4,782.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,842.80 / $3,712.75 / $5,480.39	Professional		$2,842.80	$3,712.75	$5,480.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $3,681.54 / $5,376.36	Facility		$422.50	$3,681.54	$5,376.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.92 / $6,708.75 / $8,385.94	Professional		$479.92	$6,708.75	$8,385.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $629.92 / $1,348.67 / $7,556.28	Professional		$629.92	$1,348.67	$7,556.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.21 / $6,746.55 / $29,293.49	Facility		$858.21	$6,746.55	$29,293.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,601.79 / $3,383.93 / $7,467.84	Professional		$2,601.79	$3,383.93	$7,467.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $864.16 / $864.16 / $2,042.56	Facility		$864.16	$864.16	$2,042.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $858.21 / $1,068.00 / $2,042.56	Professional		$858.21	$1,068.00	$2,042.56
United Facility/Professional Professional Modifier Low / Median / High Price $2,605.44 / $2,970.74 / $7,135.43	Professional		$2,605.44	$2,970.74	$7,135.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7,070.40 / $7,070.40 / $7,070.40	Facility		$7,070.40	$7,070.40	$7,070.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,585.62 / $7,070.40 / $7,070.40	Professional		$5,585.62	$7,070.40	$7,070.40