Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.68 / $1,700.68 / $1,844.41	Facility		$1,700.68	$1,700.68	$1,844.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.10 / $1,324.67 / $2,221.59	Professional		$986.10	$1,324.67	$2,221.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,735.39	Facility		$1,618.14	$1,618.14	$2,735.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.14 / $2,837.63 / $3,547.03	Professional		$1,618.14	$2,837.63	$3,547.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.26 / $2,593.84 / $2,810.85	Professional		$2,325.26	$2,593.84	$2,810.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,562.15 / $2,946.10 / $11,530.40	Facility		$1,562.15	$2,946.10	$11,530.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.33 / $1,281.95 / $3,350.58	Professional		$1,100.33	$1,281.95	$3,350.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,727.39 / $2,735.39 / $3,350.58	Facility		$2,727.39	$2,735.39	$3,350.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,240.32 / $3,195.32 / $5,227.29	Professional		$2,240.32	$3,195.32	$5,227.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.52 / $1,240.59 / $3,181.93	Professional		$1,090.52	$1,240.59	$3,181.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,436.98 / $2,436.98 / $2,436.98	Facility		$2,436.98	$2,436.98	$2,436.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,925.22 / $2,436.98 / $2,436.98	Professional		$1,925.22	$2,436.98	$2,436.98