Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,698.24	Facility		$1,380.38	$1,380.38	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,905.46	Professional		$707.95	$1,288.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,949.84	Facility		$169.82	$1,071.52	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $2,691.53 / $3,388.44	Professional		$169.82	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $2,570.40	Professional		$218.78	$218.78	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,511.89 / $10,471.29	Facility		$251.19	$2,511.89	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,398.83	Professional		$758.58	$977.24	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $4,466.84	Professional		$1,862.09	$1,905.46	$4,466.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,995.26	Facility		$1,949.84	$1,949.84	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $660.69 / $1,288.25	Facility		$85.11	$660.69	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,398.83	Professional		$870.96	$1,047.13	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,089.30	Professional		$1,659.59	$2,089.30	$2,089.30