Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,139.23 / $2,139.23 / $2,719.76	Facility		$2,139.23	$2,139.23	$2,719.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.08 / $2,210.42 / $3,371.60	Professional		$1,247.08	$2,210.42	$3,371.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,353.16 / $3,353.16 / $3,353.16	Facility		$3,353.16	$3,353.16	$3,353.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,353.16 / $4,136.25 / $5,170.31	Professional		$3,353.16	$4,136.25	$5,170.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $509.95 / $3,005.47	Professional		$387.54	$509.95	$3,005.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $434.70 / $3,759.14 / $18,269.96	Facility		$434.70	$3,759.14	$18,269.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,656.86 / $4,256.18	Professional		$1,058.61	$1,656.86	$4,256.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $447.88 / $447.88 / $1,058.61	Facility		$447.88	$447.88	$1,058.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $559.65 / $1,058.61	Professional		$446.56	$559.65	$1,058.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.82 / $1,557.53 / $4,256.18	Professional		$1,396.82	$1,557.53	$4,256.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,664.44 / $3,664.44 / $3,664.44	Facility		$3,664.44	$3,664.44	$3,664.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,894.91 / $3,664.44 / $3,664.44	Professional		$2,894.91	$3,664.44	$3,664.44