Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.20 / $1,388.30 / $1,388.30	Facility		$1,365.20	$1,388.30	$1,388.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,127.00 / $1,720.41	Professional		$798.08	$1,127.00	$1,720.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,064.08	Facility		$1,172.51	$1,172.51	$2,064.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.51 / $2,316.38 / $2,895.47	Professional		$1,172.51	$2,316.38	$2,895.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.62 / $2,194.13 / $2,410.08	Professional		$1,782.62	$2,194.13	$2,410.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,178.78 / $2,411.14 / $9,934.14	Facility		$1,178.78	$2,411.14	$9,934.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $897.06 / $1,057.61 / $2,563.77	Professional		$897.06	$1,057.61	$2,563.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,058.05 / $2,064.08 / $2,850.60	Facility		$2,058.05	$2,064.08	$2,850.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,690.50 / $2,439.37 / $3,944.41	Professional		$1,690.50	$2,439.37	$3,944.41
United Facility/Professional Professional Modifier Low / Median / High Price $927.79 / $936.14 / $2,366.69	Professional		$927.79	$936.14	$2,366.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,838.91 / $1,838.91 / $1,838.91	Facility		$1,838.91	$1,838.91	$1,838.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,452.74 / $1,838.91 / $1,838.91	Professional		$1,452.74	$1,838.91	$1,838.91