Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.39 / $1,525.39 / $1,750.28	Facility		$1,525.39	$1,525.39	$1,750.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.96 / $1,202.46 / $1,915.12	Professional		$823.96	$1,202.46	$1,915.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,227.61	Facility		$1,304.10	$1,304.10	$2,227.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.10 / $2,545.13 / $3,181.41	Professional		$1,304.10	$2,545.13	$3,181.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.85 / $2,336.80 / $2,532.30	Professional		$1,923.85	$2,336.80	$2,532.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.16 / $2,602.15 / $10,402.94	Facility		$1,272.16	$2,602.15	$10,402.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.12 / $1,150.15 / $2,766.87	Professional		$968.12	$1,150.15	$2,766.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,221.09 / $2,227.61 / $3,041.49	Facility		$2,221.09	$2,227.61	$3,041.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,016.93 / $2,632.63 / $4,256.89	Professional		$2,016.93	$2,632.63	$4,256.89
United Facility/Professional Professional Modifier Low / Median / High Price $989.92 / $1,010.30 / $1,825.41	Professional		$989.92	$1,010.30	$1,825.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,984.60 / $1,984.60 / $1,984.60	Facility		$1,984.60	$1,984.60	$1,984.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,567.83 / $1,984.60 / $1,984.60	Professional		$1,567.83	$1,984.60	$1,984.60