Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.45 / $2,741.45 / $3,300.76	Facility		$2,741.45	$2,741.45	$3,300.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,495.11 / $2,515.28 / $3,785.81	Professional		$1,495.11	$2,515.28	$3,785.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $4,532.07	Facility		$2,200.00	$2,200.00	$4,532.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $5,154.20 / $6,539.06	Professional		$2,200.00	$5,154.20	$6,539.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.15 / $435.15 / $6,243.56	Professional		$435.15	$435.15	$6,243.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.70 / $5,620.28 / $24,693.27	Facility		$600.70	$5,620.28	$24,693.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,035.33 / $2,612.19 / $6,198.64	Professional		$2,035.33	$2,612.19	$6,198.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $516.64 / $516.64 / $1,221.14	Facility		$516.64	$516.64	$1,221.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $617.46 / $1,221.14	Professional		$512.74	$617.46	$1,221.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,263.38 / $2,452.00 / $6,198.64	Professional		$2,263.38	$2,452.00	$6,198.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,339.35 / $4,227.03 / $4,227.03	Professional		$3,339.35	$4,227.03	$4,227.03