Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,737.80	Facility		$1,258.93	$1,258.93	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,862.09	Professional		$891.25	$1,174.90	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,290.87	Facility		$1,318.26	$1,318.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $3,162.28	Professional		$1,318.26	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,511.89	Professional		$1,862.09	$2,344.23	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $10,471.29	Facility		$1,380.38	$2,630.27	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,388.44	Professional		$977.24	$1,288.25	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $3,019.95	Professional		$2,238.72	$2,290.87	$3,019.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $3,388.44	Professional		$2,290.87	$3,388.44	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $3,235.94	Facility		$776.25	$1,659.59	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,862.09	Professional		$954.99	$1,000.00	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $1,995.26	Professional		$1,584.89	$1,995.26	$1,995.26