Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.74 / $1,040.74 / $1,253.10	Facility		$1,040.74	$1,040.74	$1,253.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.88 / $991.18 / $1,437.21	Professional		$576.88	$991.18	$1,437.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,972.39	Facility		$1,116.58	$1,116.58	$1,972.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.58 / $1,603.75 / $2,467.50	Professional		$1,116.58	$1,603.75	$2,467.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $170.29 / $170.29	Professional		$161.78	$170.29	$170.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $2,645.22 / $8,011.55	Facility		$229.34	$2,645.22	$8,011.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.87 / $921.56 / $2,353.28	Professional		$676.87	$921.56	$2,353.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $197.24 / $466.21	Facility		$197.24	$197.24	$466.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $235.74 / $466.21	Professional		$195.75	$235.74	$466.21
United Facility/Professional Professional Modifier Low / Median / High Price $781.98 / $921.56 / $2,353.28	Professional		$781.98	$921.56	$2,353.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,274.88 / $1,613.77 / $1,613.77	Professional		$1,274.88	$1,613.77	$1,613.77