Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.13 / $1,498.13 / $1,540.06	Facility		$1,498.13	$1,498.13	$1,540.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.45 / $1,108.20 / $1,748.67	Professional		$726.45	$1,108.20	$1,748.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $2,248.84	Facility		$1,184.20	$1,184.20	$2,248.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.20 / $2,499.75 / $3,124.69	Professional		$1,184.20	$2,499.75	$3,124.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.70 / $2,156.12 / $2,334.12	Professional		$1,832.70	$2,156.12	$2,334.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.29 / $2,546.82 / $9,758.87	Facility		$1,284.29	$2,546.82	$9,758.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $1,047.50 / $2,793.24	Professional		$880.62	$1,047.50	$2,793.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,242.26 / $2,248.84 / $2,695.25	Facility		$2,242.26	$2,248.84	$2,695.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,841.82 / $2,626.95 / $4,297.49	Professional		$1,841.82	$2,626.95	$4,297.49
United Facility/Professional Professional Modifier Low / Median / High Price $872.77 / $1,019.93 / $2,681.56	Professional		$872.77	$1,019.93	$2,681.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,003.51 / $2,003.51 / $2,003.51	Facility		$2,003.51	$2,003.51	$2,003.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,582.77 / $2,003.51 / $2,003.51	Professional		$1,582.77	$2,003.51	$2,003.51