Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $3,801.89	Facility		$2,137.96	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,388.44	Professional		$1,445.44	$2,187.76	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,128.61	Professional		$4,168.69	$4,168.69	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $512.86 / $3,019.95	Professional		$151.36	$512.86	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,187.76 / $18,197.01	Facility		$436.52	$2,187.76	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $3,890.45	Professional		$891.25	$1,548.82	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $7,943.28	Professional		$3,311.31	$4,677.35	$7,943.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,047.13 / $2,290.87	Facility		$147.91	$1,047.13	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $4,265.80	Professional		$1,412.54	$1,659.59	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $3,630.78	Professional		$2,884.03	$3,630.78	$3,630.78