Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.25 / $1,106.25 / $1,185.24	Facility		$1,106.25	$1,106.25	$1,185.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.74 / $862.74 / $1,312.64	Professional		$634.74	$862.74	$1,312.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,757.56	Facility		$897.58	$897.58	$1,757.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.97 / $1,845.75 / $2,307.19	Professional		$1,488.97	$1,845.75	$2,307.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.11 / $1,517.89 / $1,597.78	Professional		$1,358.11	$1,517.89	$1,597.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.72 / $1,893.19 / $7,517.91	Facility		$1,003.72	$1,893.19	$7,517.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.63 / $828.23 / $2,182.17	Professional		$716.63	$828.23	$2,182.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,752.41 / $1,757.56 / $2,182.17	Facility		$1,752.41	$1,757.56	$2,182.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,439.45 / $2,053.07 / $3,358.64	Professional		$1,439.45	$2,053.07	$3,358.64
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $710.24 / $797.11 / $1,879.95	Professional		$710.24	$797.11	$1,879.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,517.89 / $1,517.89 / $1,517.89	Facility		$1,517.89	$1,517.89	$1,517.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,199.13 / $1,517.89 / $1,517.89	Professional		$1,199.13	$1,517.89	$1,517.89