Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.23 / $1,760.23 / $1,910.86	Facility		$1,760.23	$1,760.23	$1,910.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.97 / $1,461.58 / $2,185.25	Professional		$1,080.97	$1,461.58	$2,185.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $2,727.04	Facility		$1,638.80	$1,638.80	$2,727.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.21 / $2,937.00 / $3,671.25	Professional		$2,369.21	$2,937.00	$3,671.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,355.17 / $2,898.84 / $3,751.10	Professional		$2,355.17	$2,898.84	$3,751.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,557.39 / $3,185.57 / $12,562.85	Facility		$1,557.39	$3,185.57	$12,562.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,371.61 / $3,387.23	Professional		$1,185.19	$1,371.61	$3,387.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,719.07 / $2,727.04 / $3,696.89	Facility		$2,719.07	$2,727.04	$3,696.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.83 / $3,222.87 / $5,211.34	Professional		$2,238.83	$3,222.87	$5,211.34
United Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $1,203.23 / $1,376.73	Facility		$1.94	$1,203.23	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,236.82 / $3,251.80	Professional		$1,185.19	$1,236.82	$3,251.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,429.55 / $2,429.55 / $2,429.55	Facility		$2,429.55	$2,429.55	$2,429.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,919.34 / $2,429.55 / $2,429.55	Professional		$1,919.34	$2,429.55	$2,429.55