Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,659.59	Professional		$831.76	$1,122.02	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,691.53	Professional		$1,230.27	$1,995.26	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $186.21	Professional		$147.91	$181.97	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,884.03 / $8,709.64	Facility		$251.19	$2,884.03	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,570.40	Professional		$794.33	$1,071.52	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $5,888.44	Professional		$2,511.89	$2,884.03	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $794.33 / $1,412.54	Facility		$104.71	$794.33	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $2,691.53	Professional		$954.99	$1,047.13	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,041.74	Professional		$1,621.81	$2,041.74	$2,041.74