Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.36 / $1,275.36 / $1,542.63	Facility		$1,275.36	$1,275.36	$1,542.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.48 / $1,173.25 / $1,761.23	Professional		$651.48	$1,173.25	$1,761.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $2,060.56	Facility		$1,516.14	$1,516.14	$2,060.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $2,463.75 / $3,079.69	Professional		$169.88	$2,463.75	$3,079.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $202.44 / $2,720.55	Professional		$202.44	$202.44	$2,720.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.29 / $2,471.63 / $11,227.13	Facility		$273.29	$2,471.63	$11,227.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $886.87 / $1,145.95 / $2,896.96	Professional		$886.87	$1,145.95	$2,896.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $233.95 / $552.97	Facility		$233.95	$233.95	$552.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $280.39 / $552.97	Professional		$233.27	$280.39	$552.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.76 / $1,093.06 / $2,896.96	Professional		$1,016.76	$1,093.06	$2,896.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,512.15 / $1,914.12 / $1,914.12	Professional		$1,512.15	$1,914.12	$1,914.12