Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.71 / $1,171.71 / $1,240.33	Facility		$1,171.71	$1,171.71	$1,240.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.38 / $904.78 / $1,514.31	Professional		$677.38	$904.78	$1,514.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $1,845.86	Facility		$941.33	$941.33	$1,845.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.33 / $1,954.88 / $2,443.59	Professional		$941.33	$1,954.88	$2,443.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.15 / $1,747.39 / $1,893.58	Professional		$1,594.15	$1,747.39	$1,893.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,054.15 / $1,991.91 / $7,852.81	Facility		$1,054.15	$1,991.91	$7,852.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $751.55 / $868.60 / $2,288.54	Professional		$751.55	$868.60	$2,288.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,840.45 / $1,845.86 / $2,288.54	Facility		$1,840.45	$1,845.86	$2,288.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,511.76 / $2,156.21 / $3,527.38	Professional		$1,511.76	$2,156.21	$3,527.38
United Facility/Professional Professional Modifier Low / Median / High Price $751.55 / $837.16 / $1,597.19	Professional		$751.55	$837.16	$1,597.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,644.49 / $1,644.49 / $1,644.49	Facility		$1,644.49	$1,644.49	$1,644.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,299.15 / $1,644.49 / $1,644.49	Professional		$1,299.15	$1,644.49	$1,644.49