Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,226.61 / $2,226.61 / $2,559.90	Facility		$2,226.61	$2,226.61	$2,559.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,226.61 / $3,074.84	Professional		$1,195.98	$2,226.61	$3,074.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,261.53 / $3,685.49 / $3,685.49	Facility		$3,261.53	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,637.50 / $3,685.49	Professional		$2,910.00	$3,637.50	$3,685.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.43 / $946.53 / $1,075.32	Professional		$353.43	$946.53	$1,075.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.84 / $3,428.27 / $9,481.87	Facility		$547.84	$3,428.27	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $504.68 / $3,868.32	Professional		$184.28	$504.68	$3,868.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $547.84 / $547.84 / $1,294.90	Facility		$547.84	$547.84	$1,294.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $544.88 / $679.87 / $1,294.90	Professional		$544.88	$679.87	$1,294.90
United Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $190.42 / $2,894.32	Professional		$184.28	$190.42	$2,894.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,482.35 / $4,482.35 / $4,482.35	Facility		$4,482.35	$4,482.35	$4,482.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,541.06 / $4,482.35 / $4,482.35	Professional		$3,541.06	$4,482.35	$4,482.35