Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.60 / $1,666.60 / $1,676.37	Facility		$1,666.60	$1,666.60	$1,676.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.83 / $1,367.95 / $2,329.46	Professional		$947.83	$1,367.95	$2,329.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $3,340.52	Facility		$1,703.99	$1,703.99	$3,340.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.99 / $2,780.63 / $3,475.78	Professional		$1,703.99	$2,780.63	$3,475.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,278.67 / $3,374.13 / $3,656.42	Professional		$2,278.67	$3,374.13	$3,656.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,907.74 / $3,496.84 / $11,712.03	Facility		$1,907.74	$3,496.84	$11,712.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,136.29 / $1,515.05 / $3,983.31	Professional		$1,136.29	$1,515.05	$3,983.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,330.75 / $3,340.52 / $4,003.64	Facility		$3,330.75	$3,340.52	$4,003.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,614.53 / $3,597.47 / $6,383.65	Professional		$2,614.53	$3,597.47	$6,383.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,515.05 / $3,118.18	Professional		$1,126.15	$1,515.05	$3,118.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,976.10 / $2,976.10 / $2,976.10	Facility		$2,976.10	$2,976.10	$2,976.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,351.12 / $2,976.10 / $2,976.10	Professional		$2,351.12	$2,976.10	$2,976.10