Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.85 / $1,432.06 / $1,432.06	Facility		$1,016.85	$1,432.06	$1,432.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $834.83 / $1,283.71	Professional		$610.71	$834.83	$1,283.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,690.23	Facility		$1,105.99	$1,105.99	$1,690.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.99 / $1,982.25 / $2,477.81	Professional		$1,105.99	$1,982.25	$2,477.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.03 / $1,709.72 / $1,926.46	Professional		$1,466.03	$1,709.72	$1,926.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $979.90 / $1,997.54 / $7,263.59	Facility		$979.90	$1,997.54	$7,263.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.57 / $962.14 / $2,099.39	Professional		$734.57	$962.14	$2,099.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,685.27 / $1,690.23 / $2,097.34	Facility		$1,685.27	$1,690.23	$2,097.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,384.27 / $1,974.42 / $3,229.95	Professional		$1,384.27	$1,974.42	$3,229.95
United Facility/Professional Professional Modifier Low / Median / High Price $759.73 / $766.57 / $2,013.78	Professional		$759.73	$766.57	$2,013.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,505.84 / $1,505.84 / $1,505.84	Facility		$1,505.84	$1,505.84	$1,505.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,189.60 / $1,505.84 / $1,505.84	Professional		$1,189.60	$1,505.84	$1,505.84