Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.02 / $1,584.00 / $2,310.19	Facility		$1,576.02	$1,584.00	$2,310.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,584.00 / $3,312.23	Professional		$1,045.15	$1,584.00	$3,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.24 / $1,063.24 / $1,329.05	Professional		$1,063.24	$1,063.24	$1,329.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $836.12 / $1,045.15 / $1,963.27	Professional		$836.12	$1,045.15	$1,963.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,232.59 / $1,607.06	Facility		$1,044.14	$1,232.59	$1,607.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.14 / $1,044.14 / $1,540.75	Professional		$1,044.14	$1,044.14	$1,540.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,231.31 / $1,517.28 / $2,413.85	Facility		$1,231.31	$1,517.28	$2,413.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,170.97 / $1,252.97 / $3,215.46	Professional		$1,170.97	$1,252.97	$3,215.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,721.86 / $1,721.86 / $1,721.86	Facility		$1,721.86	$1,721.86	$1,721.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,149.67	Professional		$1,045.15	$1,045.15	$1,149.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,044.14 / $1,044.14	Facility		$1,044.14	$1,044.14	$1,044.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,044.14 / $1,044.14 / $1,044.14	Professional		$1,044.14	$1,044.14	$1,044.14