Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.06 / $1,234.97 / $1,234.97	Facility		$1,080.06	$1,234.97	$1,234.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.95 / $913.54 / $1,511.35	Professional		$610.95	$913.54	$1,511.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,918.08	Facility		$1,149.77	$1,149.77	$1,918.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.77 / $2,060.63 / $2,575.78	Professional		$1,149.77	$2,060.63	$2,575.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.78 / $2,038.93 / $2,250.05	Professional		$1,510.78	$2,038.93	$2,250.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,095.40 / $2,099.44 / $7,860.20	Facility		$1,095.40	$2,099.44	$7,860.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $740.61 / $880.96 / $2,310.61	Professional		$740.61	$880.96	$2,310.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,912.47 / $1,918.08 / $2,298.83	Facility		$1,912.47	$1,918.08	$2,298.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,570.92 / $2,240.58 / $3,665.40	Professional		$1,570.92	$2,240.58	$3,665.40
United Facility/Professional Professional Modifier Low / Median / High Price $734.00 / $869.92 / $2,051.75	Professional		$734.00	$869.92	$2,051.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,708.84 / $1,708.84 / $1,708.84	Facility		$1,708.84	$1,708.84	$1,708.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,349.98 / $1,708.84 / $1,708.84	Professional		$1,349.98	$1,708.84	$1,708.84