Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,017.82 / $5,017.82 / $6,045.99	Facility		$5,017.82	$5,017.82	$6,045.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,468.91 / $4,604.99 / $6,929.38	Professional		$3,468.91	$4,604.99	$6,929.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,899.36 / $5,470.13 / $5,470.13	Facility		$3,899.36	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.96 / $8,643.75 / $10,804.69	Professional		$651.96	$8,643.75	$10,804.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $796.48 / $796.48 / $9,528.45	Professional		$796.48	$796.48	$9,528.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.07 / $5,985.99 / $13,040.65	Facility		$786.07	$5,985.99	$13,040.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,466.80 / $3,482.52 / $8,061.32	Professional		$2,466.80	$3,482.52	$8,061.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.88 / $1,032.88 / $2,441.35	Facility		$1,032.88	$1,032.88	$2,441.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,025.90 / $1,235.05 / $2,441.35	Professional		$1,025.90	$1,235.05	$2,441.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,763.88 / $3,224.53 / $7,569.35	Professional		$2,763.88	$3,224.53	$7,569.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,676.15 / $8,450.82 / $8,450.82	Professional		$6,676.15	$8,450.82	$8,450.82