Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.41 / $1,244.41 / $1,317.29	Facility		$1,244.41	$1,244.41	$1,317.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.39 / $960.90 / $1,608.23	Professional		$719.39	$960.90	$1,608.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,960.31	Facility		$1,162.20	$1,162.20	$1,960.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.20 / $2,076.38 / $2,595.46	Professional		$1,162.20	$2,076.38	$2,595.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.00 / $1,859.28 / $2,014.83	Professional		$1,693.00	$1,859.28	$2,014.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,119.51 / $2,115.50 / $8,339.85	Facility		$1,119.51	$2,115.50	$8,339.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.05 / $922.47 / $2,430.48	Professional		$791.05	$922.47	$2,430.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,954.57 / $1,960.31 / $2,430.48	Facility		$1,954.57	$1,960.31	$2,430.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,605.50 / $2,289.91 / $3,746.12	Professional		$1,605.50	$2,289.91	$3,746.12
United Facility/Professional Professional Modifier Low / Median / High Price $791.05 / $889.07 / $2,096.83	Professional		$791.05	$889.07	$2,096.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,746.46 / $1,746.46 / $1,746.46	Facility		$1,746.46	$1,746.46	$1,746.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,379.70 / $1,746.46 / $1,746.46	Professional		$1,379.70	$1,746.46	$1,746.46