Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.46 / $1,412.46 / $1,621.71	Facility		$1,412.46	$1,412.46	$1,621.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.94 / $1,049.26 / $1,642.51	Professional		$761.94	$1,049.26	$1,642.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,138.87	Facility		$1,108.41	$1,108.41	$2,138.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.41 / $2,356.50 / $2,945.63	Professional		$1,108.41	$2,356.50	$2,945.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,839.01 / $2,032.83 / $2,154.65	Professional		$1,839.01	$2,032.83	$2,154.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,221.49 / $2,498.50 / $9,247.12	Facility		$1,221.49	$2,498.50	$9,247.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.57 / $1,007.30 / $2,656.66	Professional		$871.57	$1,007.30	$2,656.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,132.62 / $2,138.87 / $2,654.01	Facility		$2,132.62	$2,138.87	$2,654.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,900.03 / $2,498.50 / $4,087.34	Professional		$1,900.03	$2,498.50	$4,087.34
United Facility/Professional Professional Modifier Low / Median / High Price $863.80 / $970.06 / $2,287.85	Professional		$863.80	$970.06	$2,287.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,905.54 / $1,905.54 / $1,905.54	Facility		$1,905.54	$1,905.54	$1,905.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,505.38 / $1,905.54 / $1,905.54	Professional		$1,505.38	$1,905.54	$1,905.54