Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,621.81	Facility		$1,230.27	$1,230.27	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,621.81	Professional		$758.58	$1,047.13	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,187.76	Facility		$1,096.48	$1,096.48	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $2,951.21	Professional		$1,096.48	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,187.76	Professional		$1,737.80	$2,041.74	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $9,332.54	Facility		$1,318.26	$2,344.23	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $3,235.94	Professional		$870.96	$1,230.27	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,630.27	Professional		$2,137.96	$2,238.72	$2,630.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $3,235.94	Professional		$1,995.26	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $2,884.03	Facility		$676.08	$1,445.44	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,778.28	Professional		$870.96	$977.24	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $1,905.46	Professional		$1,513.56	$1,905.46	$1,905.46