Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,075.47 / $4,075.47 / $4,944.71	Facility		$4,075.47	$4,075.47	$4,944.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,081.76 / $3,749.26 / $5,628.03	Professional		$2,081.76	$3,749.26	$5,628.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $5,596.94	Facility		$2,900.00	$2,900.00	$5,596.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,900.00 / $7,878.75 / $9,864.54	Professional		$2,900.00	$7,878.75	$9,864.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $646.90 / $7,492.88	Professional		$646.90	$646.90	$7,492.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.62 / $7,341.96 / $30,495.32	Facility		$747.62	$7,341.96	$30,495.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,442.59 / $3,134.88 / $7,425.99	Professional		$2,442.59	$3,134.88	$7,425.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $747.62 / $747.62 / $1,767.09	Facility		$747.62	$747.62	$1,767.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $896.02 / $1,767.09	Professional		$745.42	$896.02	$1,767.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,590.81 / $2,860.46 / $7,105.30	Professional		$2,590.81	$2,860.46	$7,105.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,832.31 / $6,116.85 / $6,116.85	Professional		$4,832.31	$6,116.85	$6,116.85