Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,258.93	Facility		$1,047.13	$1,047.13	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,445.44	Professional		$724.44	$1,000.00	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,454.71	Professional		$1,122.02	$1,698.24	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,630.27 / $7,943.28	Facility		$194.98	$2,630.27	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $2,137.96	Professional		$602.56	$870.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $4,677.35	Professional		$1,949.84	$2,290.87	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $602.56 / $1,288.25	Facility		$77.62	$602.56	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $2,344.23	Professional		$776.25	$891.25	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,621.81	Professional		$1,288.25	$1,621.81	$1,621.81