Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.24 / $1,437.93 / $1,437.93	Facility		$1,398.24	$1,437.93	$1,437.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.45 / $865.70 / $1,262.13	Professional		$600.45	$865.70	$1,262.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,585.53	Facility		$1,200.11	$1,200.11	$1,585.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.11 / $1,990.13 / $2,487.66	Professional		$1,200.11	$1,990.13	$2,487.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.96 / $1,716.73 / $1,884.46	Professional		$1,397.96	$1,716.73	$1,884.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $919.20 / $1,901.23 / $7,578.14	Facility		$919.20	$1,901.23	$7,578.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.68 / $958.79 / $1,969.36	Professional		$712.68	$958.79	$1,969.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,580.89 / $1,585.53 / $2,189.67	Facility		$1,580.89	$1,585.53	$2,189.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,408.00 / $1,852.12 / $3,029.91	Professional		$1,408.00	$1,852.12	$3,029.91
United Facility/Professional Professional Modifier Low / Median / High Price $712.68 / $876.89 / $1,889.06	Professional		$712.68	$876.89	$1,889.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,412.56 / $1,412.56	Facility		$1,412.56	$1,412.56	$1,412.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,115.92 / $1,412.56 / $1,412.56	Professional		$1,115.92	$1,412.56	$1,412.56