Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.75 / $1,201.75 / $1,447.62	Facility		$1,201.75	$1,201.75	$1,447.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.81 / $1,124.08 / $1,659.56	Professional		$768.81	$1,124.08	$1,659.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $2,487.67	Facility		$1,217.05	$1,217.05	$2,487.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,709.86 / $2,148.75 / $2,685.94	Professional		$1,709.86	$2,148.75	$2,685.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $180.53 / $185.35	Professional		$171.50	$180.53	$185.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $289.32 / $2,876.88 / $8,728.48	Facility		$289.32	$2,876.88	$8,728.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.07 / $1,104.85 / $2,718.54	Professional		$902.07	$1,104.85	$2,718.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.74 / $248.74 / $587.94	Facility		$248.74	$248.74	$587.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $297.35 / $587.94	Professional		$246.95	$297.35	$587.94
United Facility/Professional Professional Modifier Low / Median / High Price $968.71 / $1,104.85 / $2,718.54	Professional		$968.71	$1,104.85	$2,718.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,607.94 / $2,035.37 / $2,035.37	Professional		$1,607.94	$2,035.37	$2,035.37