Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.59 / $1,697.59 / $1,939.13	Facility		$1,697.59	$1,697.59	$1,939.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,373.73 / $2,042.84	Professional		$947.65	$1,373.73	$2,042.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,631.45	Facility		$1,499.97	$1,499.97	$2,631.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.97 / $2,832.38 / $3,540.47	Professional		$1,499.97	$2,832.38	$3,540.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.75 / $2,423.10 / $2,567.69	Professional		$2,236.75	$2,423.10	$2,567.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,502.79 / $3,073.90 / $12,090.55	Facility		$1,502.79	$3,073.90	$12,090.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.90 / $1,289.16 / $3,268.47	Professional		$1,130.90	$1,289.16	$3,268.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,623.75 / $2,631.45 / $3,474.65	Facility		$2,623.75	$2,631.45	$3,474.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,271.94 / $3,073.90 / $5,028.64	Professional		$2,271.94	$3,073.90	$5,028.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.90 / $1,193.45 / $3,137.79	Professional		$1,130.90	$1,193.45	$3,137.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,344.39 / $2,344.39 / $2,344.39	Facility		$2,344.39	$2,344.39	$2,344.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,852.07 / $2,344.39 / $2,344.39	Professional		$1,852.07	$2,344.39	$2,344.39