Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.29 / $1,556.29 / $1,888.25	Facility		$1,556.29	$1,556.29	$1,888.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.93 / $1,431.74 / $2,149.16	Professional		$794.93	$1,431.74	$2,149.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $2,137.21	Facility		$192.60	$1,436.52	$2,137.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.21 / $3,090.90 / $3,863.63	Professional		$2,137.21	$3,090.90	$3,863.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.03 / $247.03 / $2,861.19	Professional		$247.03	$247.03	$2,861.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.48 / $2,803.56 / $11,644.83	Facility		$285.48	$2,803.56	$11,644.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $932.71 / $1,197.07 / $2,835.66	Professional		$932.71	$1,197.07	$2,835.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.48 / $285.48 / $674.78	Facility		$285.48	$285.48	$674.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $342.16 / $674.78	Professional		$284.64	$342.16	$674.78
United Facility/Professional Professional Modifier Low / Median / High Price $951.34 / $1,183.47 / $2,713.56	Professional		$951.34	$1,183.47	$2,713.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,845.26 / $2,335.77 / $2,335.77	Professional		$1,845.26	$2,335.77	$2,335.77