Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.07 / $1,552.07 / $1,669.30	Facility		$1,552.07	$1,552.07	$1,669.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.52 / $1,255.38 / $1,866.84	Professional		$886.52	$1,255.38	$1,866.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $2,299.21	Facility		$1,306.07	$1,306.07	$2,299.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.07 / $2,589.75 / $3,237.19	Professional		$1,306.07	$2,589.75	$3,237.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,985.68 / $2,428.89 / $2,632.09	Professional		$1,985.68	$2,428.89	$2,632.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,313.05 / $2,685.78 / $11,140.65	Facility		$1,313.05	$2,685.78	$11,140.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $999.25 / $1,178.08 / $2,855.80	Professional		$999.25	$1,178.08	$2,855.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,292.48 / $2,299.21 / $3,175.31	Facility		$2,292.48	$2,299.21	$3,175.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,955.79 / $2,717.25 / $4,393.72	Professional		$1,955.79	$2,717.25	$4,393.72
United Facility/Professional Professional Modifier Low / Median / High Price $999.25 / $1,042.77 / $2,741.62	Professional		$999.25	$1,042.77	$2,741.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,048.39 / $2,048.39 / $2,048.39	Facility		$2,048.39	$2,048.39	$2,048.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,618.23 / $2,048.39 / $2,048.39	Professional		$1,618.23	$2,048.39	$2,048.39