Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,911.80 / $1,911.80 / $2,208.59	Facility		$1,911.80	$1,911.80	$2,208.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,700.15 / $2,640.10	Professional		$1,195.98	$1,700.15	$2,640.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $2,359.19	Facility		$303.33	$303.33	$2,359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,887.50 / $2,916.38 / $3,609.38	Professional		$2,887.50	$2,916.38	$3,609.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $684.68 / $777.84	Professional		$303.45	$684.68	$777.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.47 / $2,943.56 / $9,481.87	Facility		$432.47	$2,943.56	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $432.47 / $2,888.60	Professional		$158.09	$432.47	$2,888.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $435.11 / $435.11 / $1,028.43	Facility		$435.11	$435.11	$1,028.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $432.47 / $538.98 / $1,028.43	Professional		$432.47	$538.98	$1,028.43
United Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $263.49 / $2,720.28	Professional		$158.09	$263.49	$2,720.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,559.95 / $3,559.95 / $3,559.95	Facility		$3,559.95	$3,559.95	$3,559.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,812.36 / $3,559.95 / $3,559.95	Professional		$2,812.36	$3,559.95	$3,559.95