Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.74 / $1,760.93 / $1,760.93	Facility		$1,408.74	$1,760.93	$1,760.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,461.57 / $1,760.93	Professional		$1,408.74	$1,461.57	$1,760.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $946.42	Facility		$482.77	$482.77	$946.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.62 / $1,002.38 / $1,252.97	Professional		$808.62	$1,002.38	$1,252.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.42 / $1,067.19 / $1,281.06	Professional		$821.42	$1,067.19	$1,281.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.42 / $1,760.93 / $4,027.33	Facility		$946.42	$1,760.93	$4,027.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $566.71 / $1,175.53	Professional		$410.09	$566.71	$1,175.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $946.42 / $946.42 / $1,173.70	Facility		$946.42	$946.42	$1,173.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $886.88 / $1,118.49 / $1,808.59	Professional		$886.88	$1,118.49	$1,808.59
United Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $456.56 / $1,124.05	Professional		$385.44	$456.56	$1,124.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $774.34 / $774.34 / $774.34	Facility		$774.34	$774.34	$774.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $611.73 / $774.34 / $774.34	Professional		$611.73	$774.34	$774.34