Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,260.21 / $2,801.58	Facility		$1,214.63	$1,260.21	$2,801.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,214.63 / $2,319.00	Professional		$1,072.00	$1,214.63	$2,319.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,226.77 / $1,518.28	Professional		$1,214.63	$1,226.77	$1,518.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.20 / $1,700.60 / $1,776.50	Professional		$1,432.20	$1,700.60	$1,776.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,171.56 / $1,384.68 / $5,203.28	Facility		$1,171.56	$1,384.68	$5,203.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,384.68	Professional		$485.85	$1,214.63	$1,384.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1,166.77 / $1,312.05	Facility		$0.90	$1,166.77	$1,312.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,302.85 / $1,302.85 / $1,312.05	Professional		$1,302.85	$1,302.85	$1,312.05
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,384.68	Professional		$485.85	$1,214.63	$1,384.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Facility		$1,214.63	$1,214.63	$1,214.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $959.56 / $1,214.63 / $1,214.63	Professional		$959.56	$1,214.63	$1,214.63