Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.83 / $1,502.83 / $1,801.77	Facility		$1,502.83	$1,502.83	$1,801.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.21 / $1,163.05 / $1,729.54	Professional		$871.21	$1,163.05	$1,729.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,375.77	Facility		$1,399.15	$1,399.15	$2,375.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.15 / $2,507.63 / $3,134.53	Professional		$1,399.15	$2,507.63	$3,134.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.75 / $2,157.05 / $2,201.03	Professional		$1,893.75	$2,157.05	$2,201.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,356.78 / $2,775.22 / $10,269.56	Facility		$1,356.78	$2,775.22	$10,269.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $966.08 / $1,116.53 / $2,950.91	Professional		$966.08	$1,116.53	$2,950.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,368.82 / $2,375.77 / $2,941.79	Facility		$2,368.82	$2,375.77	$2,941.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,105.00 / $2,775.22 / $4,540.05	Professional		$2,105.00	$2,775.22	$4,540.05
United Facility/Professional Professional Modifier Low / Median / High Price $966.08 / $1,077.50 / $2,770.79	Professional		$966.08	$1,077.50	$2,770.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,116.59 / $2,116.59 / $2,116.59	Facility		$2,116.59	$2,116.59	$2,116.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,672.11 / $2,116.59 / $2,116.59	Professional		$1,672.11	$2,116.59	$2,116.59