Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,508.03 / $2,508.03 / $3,042.99	Facility		$2,508.03	$2,508.03	$3,042.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,858.49 / $2,388.60 / $3,330.19	Professional		$1,858.49	$2,388.60	$3,330.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,569.13 / $2,569.13 / $2,569.13	Facility		$2,569.13	$2,569.13	$2,569.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,569.13 / $4,848.75 / $6,060.94	Professional		$2,569.13	$4,848.75	$6,060.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $398.10 / $398.10	Professional		$398.10	$398.10	$398.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.39 / $460.08 / $4,860.56	Facility		$260.39	$460.08	$4,860.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $215.62 / $2,343.76	Professional		$177.36	$215.62	$2,343.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $442.38 / $460.08 / $1,087.45	Facility		$442.38	$460.08	$1,087.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $441.08 / $537.44 / $1,087.45	Professional		$441.08	$537.44	$1,087.45
United Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $208.66 / $1,969.03	Professional		$199.95	$208.66	$1,969.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,973.76 / $3,764.25 / $3,764.25	Professional		$2,973.76	$3,764.25	$3,764.25