Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.96 / $1,372.96 / $1,665.83	Facility		$1,372.96	$1,372.96	$1,665.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.33 / $1,263.08 / $1,895.99	Professional		$701.33	$1,263.08	$1,895.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,885.47	Facility		$173.31	$1,082.51	$1,885.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $2,630.59 / $3,318.75	Professional		$173.31	$2,630.59	$3,318.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.93 / $217.93 / $2,524.30	Professional		$217.93	$217.93	$2,524.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $2,473.46 / $10,273.09	Facility		$251.87	$2,473.46	$10,273.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.89 / $1,056.11 / $2,501.63	Professional		$822.89	$1,056.11	$2,501.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $251.87 / $595.32	Facility		$251.87	$251.87	$595.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $301.86 / $595.32	Professional		$251.11	$301.86	$595.32
United Facility/Professional Professional Modifier Low / Median / High Price $872.75 / $1,043.89 / $2,393.53	Professional		$872.75	$1,043.89	$2,393.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,627.98 / $2,060.73 / $2,060.73	Professional		$1,627.98	$2,060.73	$2,060.73