Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.53 / $1,689.53 / $2,049.94	Facility		$1,689.53	$1,689.53	$2,049.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.10 / $1,529.66 / $2,243.64	Professional		$863.10	$1,529.66	$2,243.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $1,414.26 / $2,320.44	Facility		$213.28	$1,414.26	$2,320.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $3,266.25 / $4,194.38	Professional		$213.28	$3,266.25	$4,194.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $268.18 / $268.18	Professional		$268.18	$268.18	$268.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.93 / $3,244.49 / $12,643.10	Facility		$309.93	$3,244.49	$12,643.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,593.90 / $3,849.69	Professional		$1,194.83	$1,593.90	$3,849.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $298.05 / $309.93 / $732.55	Facility		$298.05	$309.93	$732.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $297.17 / $362.04 / $732.55	Professional		$297.17	$362.04	$732.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.74 / $1,405.68 / $3,662.75	Professional		$1,351.74	$1,405.68	$3,662.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,003.24 / $2,535.75 / $2,535.75	Professional		$2,003.24	$2,535.75	$2,535.75