Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.83 / $1,442.83 / $1,701.51	Facility		$1,442.83	$1,442.83	$1,701.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.66 / $1,130.27 / $1,680.81	Professional		$846.66	$1,130.27	$1,680.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,228.89	Facility		$1,277.46	$1,277.46	$2,228.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.46 / $2,407.50 / $3,009.38	Professional		$1,277.46	$2,407.50	$3,009.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.18 / $2,235.19 / $2,422.19	Professional		$1,840.18	$2,235.19	$2,422.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,272.90 / $2,603.65 / $10,083.62	Facility		$1,272.90	$2,603.65	$10,083.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $934.64 / $1,075.24 / $2,768.46	Professional		$934.64	$1,075.24	$2,768.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,222.36 / $2,228.89 / $2,858.87	Facility		$2,222.36	$2,228.89	$2,858.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,993.53 / $2,603.65 / $4,259.35	Professional		$1,993.53	$2,603.65	$4,259.35
United Facility/Professional Professional Modifier Low / Median / High Price $930.48 / $1,010.88 / $2,384.15	Professional		$930.48	$1,010.88	$2,384.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,985.73 / $1,985.73 / $1,985.73	Facility		$1,985.73	$1,985.73	$1,985.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,568.73 / $1,985.73 / $1,985.73	Professional		$1,568.73	$1,985.73	$1,985.73