Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.04 / $1,832.04 / $1,956.19	Facility		$1,832.04	$1,832.04	$1,956.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.33 / $1,413.15 / $2,542.76	Professional		$968.33	$1,413.15	$2,542.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $2,771.62	Facility		$1,549.06	$1,549.06	$2,771.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.06 / $3,056.63 / $3,820.78	Professional		$1,549.06	$3,056.63	$3,820.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,393.67 / $2,787.47 / $3,011.78	Professional		$2,393.67	$2,787.47	$3,011.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,582.85 / $3,129.12 / $12,388.80	Facility		$1,582.85	$3,129.12	$12,388.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.35 / $1,337.06 / $3,442.59	Professional		$1,163.35	$1,337.06	$3,442.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,763.52 / $2,771.62 / $3,574.39	Facility		$2,763.52	$2,771.62	$3,574.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,291.92 / $3,275.55 / $5,296.52	Professional		$2,291.92	$3,275.55	$5,296.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.35 / $1,257.03 / $2,964.63	Professional		$1,163.35	$1,257.03	$2,964.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,469.26 / $2,469.26 / $2,469.26	Facility		$2,469.26	$2,469.26	$2,469.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,950.72 / $2,469.26 / $2,469.26	Professional		$1,950.72	$2,469.26	$2,469.26