Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.88 / $1,618.88 / $1,713.68	Facility		$1,618.88	$1,618.88	$1,713.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.88 / $1,250.07 / $2,092.23	Professional		$935.88	$1,250.07	$2,092.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,550.26	Facility		$1,300.55	$1,300.55	$2,550.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,178.94 / $2,701.13 / $3,376.41	Professional		$2,178.94	$2,701.13	$3,376.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,202.50 / $2,329.91 / $2,511.04	Professional		$2,202.50	$2,329.91	$2,511.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,456.43 / $2,752.10 / $10,889.80	Facility		$1,456.43	$2,752.10	$10,889.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.36 / $1,200.07 / $3,161.90	Professional		$1,038.36	$1,200.07	$3,161.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,542.80 / $2,550.26 / $3,161.90	Facility		$2,542.80	$2,550.26	$3,161.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,088.67 / $2,979.06 / $4,873.50	Professional		$2,088.67	$2,979.06	$4,873.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.09 / $1,156.63 / $2,727.90	Professional		$1,029.09	$1,156.63	$2,727.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,272.05 / $2,272.05 / $2,272.05	Facility		$2,272.05	$2,272.05	$2,272.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,794.92 / $2,272.05 / $2,272.05	Professional		$1,794.92	$2,272.05	$2,272.05