Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.24 / $1,518.24 / $1,694.18	Facility		$1,518.24	$1,518.24	$1,694.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $1,347.00 / $2,096.61	Professional		$779.38	$1,347.00	$2,096.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $2,171.98	Facility		$144.19	$144.19	$2,171.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $2,951.25 / $3,689.06	Professional		$144.19	$2,951.25	$3,689.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.99 / $369.74 / $2,071.46	Professional		$240.99	$369.74	$2,071.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.43 / $2,532.56 / $11,834.20	Facility		$254.43	$2,532.56	$11,834.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $731.38 / $927.68 / $2,074.57	Professional		$731.38	$927.68	$2,074.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.87 / $279.87 / $661.52	Facility		$279.87	$279.87	$661.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.06 / $348.73 / $661.52	Professional		$279.06	$348.73	$661.52
United Facility/Professional Professional Modifier Low / Median / High Price $757.51 / $814.40 / $2,074.57	Professional		$757.51	$814.40	$2,074.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,289.87 / $2,289.87 / $2,289.87	Facility		$2,289.87	$2,289.87	$2,289.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,809.00 / $2,289.87 / $2,289.87	Professional		$1,809.00	$2,289.87	$2,289.87