Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.38 / $1,567.38 / $1,901.73	Facility		$1,567.38	$1,567.38	$1,901.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.59 / $1,419.06 / $2,080.94	Professional		$800.59	$1,419.06	$2,080.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $2,152.48	Facility		$1,450.41	$1,450.41	$2,152.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.41 / $3,030.00 / $3,787.50	Professional		$1,450.41	$3,030.00	$3,787.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.79 / $248.79 / $248.79	Professional		$248.79	$248.79	$248.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $2,823.51 / $11,728.00	Facility		$287.52	$2,823.51	$11,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.26 / $1,191.68 / $2,732.40	Professional		$800.26	$1,191.68	$2,732.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $276.43 / $287.52 / $679.61	Facility		$276.43	$287.52	$679.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.62 / $335.87 / $679.61	Professional		$275.62	$335.87	$679.61
United Facility/Professional Professional Modifier Low / Median / High Price $996.31 / $1,191.68 / $2,873.27	Professional		$996.31	$1,191.68	$2,873.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,858.48 / $2,352.51 / $2,352.51	Professional		$1,858.48	$2,352.51	$2,352.51