Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.44 / $1,513.44 / $1,822.47	Facility		$1,513.44	$1,513.44	$1,822.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.04 / $1,457.14 / $2,089.98	Professional		$870.04	$1,457.14	$2,089.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $3,037.72	Facility		$1,772.06	$1,772.06	$3,037.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,772.06 / $2,418.76 / $3,539.06	Professional		$1,772.06	$2,418.76	$3,539.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $245.03 / $247.92	Professional		$232.00	$245.03	$247.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.17 / $3,806.27 / $11,540.27	Facility		$353.17	$3,806.27	$11,540.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.85 / $1,347.67 / $3,422.49	Professional		$1,020.85	$1,347.67	$3,422.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $303.77 / $303.77 / $717.99	Facility		$303.77	$303.77	$717.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $363.04 / $717.99	Professional		$301.45	$363.04	$717.99
United Facility/Professional Facility Modifier Low / Median / High Price $131.77 / $988.27 / $1,791.25	Facility		$131.77	$988.27	$1,791.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.92 / $1,317.69 / $3,422.49	Professional		$1,202.92	$1,317.69	$3,422.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,963.47 / $2,485.40 / $2,485.40	Professional		$1,963.47	$2,485.40	$2,485.40