Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.97 / $1,531.97 / $1,942.06	Facility		$1,531.97	$1,531.97	$1,942.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.68 / $1,295.70 / $2,210.32	Professional		$817.68	$1,295.70	$2,210.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $1,639.62 / $2,198.30	Facility		$1,639.62	$1,639.62	$2,198.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $2,962.50 / $3,703.13	Professional		$198.09	$2,962.50	$3,703.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $254.06 / $2,943.06	Professional		$254.06	$254.06	$2,943.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $2,883.79 / $11,977.62	Facility		$293.62	$2,883.79	$11,977.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,231.32 / $2,916.69	Professional		$959.40	$1,231.32	$2,916.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $293.62 / $694.02	Facility		$293.62	$293.62	$694.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.76 / $351.90 / $694.02	Professional		$292.76	$351.90	$694.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,217.01 / $2,790.48	Professional		$1,017.50	$1,217.01	$2,790.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,897.87 / $2,402.37 / $2,402.37	Professional		$1,897.87	$2,402.37	$2,402.37