Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,460.14 / $1,460.14	Facility		$1,175.09	$1,460.14	$1,460.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.66 / $860.26 / $1,396.97	Professional		$596.66	$860.26	$1,396.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $1,968.85	Facility		$895.00	$895.00	$1,968.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.00 / $2,020.88 / $2,526.09	Professional		$895.00	$2,020.88	$2,526.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.26 / $1,668.88 / $1,789.86	Professional		$1,390.26	$1,668.88	$1,789.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,141.43 / $2,291.71 / $7,595.27	Facility		$1,141.43	$2,291.71	$7,595.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $825.61 / $1,060.52 / $2,445.48	Professional		$825.61	$1,060.52	$2,445.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,963.09 / $1,968.85 / $2,359.67	Facility		$1,963.09	$1,968.85	$2,359.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $2,175.92 / $3,762.44	Professional		$1,590.00	$2,175.92	$3,762.44
United Facility/Professional Professional Modifier Low / Median / High Price $806.49 / $922.71 / $2,105.94	Professional		$806.49	$922.71	$2,105.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,754.06 / $1,754.06 / $1,754.06	Facility		$1,754.06	$1,754.06	$1,754.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,385.71 / $1,754.06 / $1,754.06	Professional		$1,385.71	$1,754.06	$1,754.06