Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.02 / $1,010.02 / $1,215.90	Facility		$1,010.02	$1,010.02	$1,215.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.24 / $926.60 / $1,394.78	Professional		$520.24	$926.60	$1,394.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,633.70	Facility		$799.37	$799.37	$1,633.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,633.70 / $2,456.25	Professional		$145.52	$1,633.70	$2,456.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $160.32 / $3,639.33	Professional		$160.32	$160.32	$3,639.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.03 / $2,229.04 / $8,901.35	Facility		$217.03	$2,229.04	$8,901.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $1,294.24 / $2,283.39	Professional		$833.76	$1,294.24	$2,283.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $186.69 / $441.27	Facility		$186.69	$186.69	$441.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $223.10 / $441.27	Professional		$185.25	$223.10	$441.27
United Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $1,370.60 / $2,864.96	Professional		$833.76	$1,370.60	$2,864.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,206.71 / $1,527.48 / $1,527.48	Professional		$1,206.71	$1,527.48	$1,527.48