Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Facility		$1,122.02	$1,122.02	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,584.89	Professional		$741.31	$954.99	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,995.26	Facility		$1,174.90	$1,174.90	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $2,570.40	Professional		$1,174.90	$2,089.30	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,041.74	Professional		$1,513.56	$1,862.09	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $8,317.64	Facility		$1,230.27	$2,137.96	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,951.21	Professional		$794.33	$1,096.48	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,454.71	Professional		$1,949.84	$2,041.74	$2,454.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $2,951.21	Professional		$1,819.70	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $2,630.27	Facility		$616.60	$1,318.26	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,621.81	Professional		$794.33	$891.25	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Professional		$1,380.38	$1,737.80	$1,737.80