Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.91 / $2,090.91 / $2,405.11	Facility		$2,090.91	$2,090.91	$2,405.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,989.46 / $2,887.44	Professional		$1,195.98	$1,989.46	$2,887.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,576.44 / $2,576.44 / $2,576.44	Facility		$2,576.44	$2,576.44	$2,576.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $2,910.00 / $3,637.50	Professional		$215.64	$2,910.00	$3,637.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.89 / $830.80 / $943.85	Professional		$331.89	$830.80	$943.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $3,219.33 / $9,481.87	Facility		$498.07	$3,219.33	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $473.75 / $3,395.28	Professional		$172.99	$473.75	$3,395.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $498.07 / $1,177.25	Facility		$498.07	$498.07	$1,177.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $495.26 / $617.66 / $1,177.25	Professional		$495.26	$617.66	$1,177.25
United Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $271.88 / $3,108.53	Professional		$172.99	$271.88	$3,108.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,075.11 / $4,075.11 / $4,075.11	Facility		$4,075.11	$4,075.11	$4,075.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,219.34 / $4,075.11 / $4,075.11	Professional		$3,219.34	$4,075.11	$4,075.11