Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.67 / $1,613.25 / $1,613.25	Facility		$1,071.67	$1,613.25	$1,613.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.09 / $940.46 / $1,431.25	Professional		$645.09	$940.46	$1,431.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,787.15	Facility		$902.63	$902.63	$1,787.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.63 / $2,232.75 / $2,790.94	Professional		$902.63	$2,232.75	$2,790.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.74 / $1,926.05 / $2,074.73	Professional		$1,575.74	$1,926.05	$2,074.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.08 / $2,112.08 / $7,563.25	Facility		$1,036.08	$2,112.08	$7,563.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.70 / $1,006.71 / $2,219.78	Professional		$776.70	$1,006.71	$2,219.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,781.91 / $1,787.15 / $2,194.48	Facility		$1,781.91	$1,787.15	$2,194.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,463.69 / $2,087.63 / $3,415.19	Professional		$1,463.69	$2,087.63	$3,415.19
United Facility/Professional Professional Modifier Low / Median / High Price $776.70 / $818.85 / $2,129.27	Professional		$776.70	$818.85	$2,129.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,592.19 / $1,592.19 / $1,592.19	Facility		$1,592.19	$1,592.19	$1,592.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,257.83 / $1,592.19 / $1,592.19	Professional		$1,257.83	$1,592.19	$1,592.19