Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.70 / $1,498.95 / $1,498.95	Facility		$1,297.70	$1,498.95	$1,498.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.16 / $1,108.81 / $1,659.71	Professional		$828.16	$1,108.81	$1,659.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $2,007.65	Facility		$1,395.53	$1,395.53	$2,007.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.95 / $2,500.88 / $3,126.09	Professional		$1,952.95	$2,500.88	$3,126.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.88 / $1,924.93 / $2,157.30	Professional		$1,733.88	$1,924.93	$2,157.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,146.55 / $2,345.21 / $9,370.62	Facility		$1,146.55	$2,345.21	$9,370.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.53 / $1,005.32 / $2,493.65	Professional		$872.53	$1,005.32	$2,493.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,001.77 / $2,007.65 / $2,709.67	Facility		$2,001.77	$2,007.65	$2,709.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,644.26 / $2,345.21 / $3,836.55	Professional		$1,644.26	$2,345.21	$3,836.55
United Facility/Professional Professional Modifier Low / Median / High Price $872.53 / $910.54 / $2,393.94	Professional		$872.53	$910.54	$2,393.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,788.64 / $1,788.64 / $1,788.64	Facility		$1,788.64	$1,788.64	$1,788.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,413.03 / $1,788.64 / $1,788.64	Professional		$1,413.03	$1,788.64	$1,788.64