Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.17 / $1,119.17 / $1,171.88	Facility		$1,119.17	$1,119.17	$1,171.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.36 / $967.41 / $1,438.62	Professional		$667.36	$967.41	$1,438.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,771.79	Facility		$1,006.48	$1,006.48	$1,771.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.37 / $1,867.50 / $2,334.38	Professional		$1,506.37	$1,867.50	$2,334.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.18 / $1,717.84 / $1,856.07	Professional		$1,530.18	$1,717.84	$1,856.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.85 / $2,069.69 / $8,399.94	Facility		$1,011.85	$2,069.69	$8,399.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $770.03 / $914.80 / $2,200.71	Professional		$770.03	$914.80	$2,200.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,766.61 / $1,771.79 / $2,446.92	Facility		$1,766.61	$1,771.79	$2,446.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,451.11 / $2,069.69 / $3,385.85	Professional		$1,451.11	$2,069.69	$3,385.85
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.03 / $804.88 / $2,093.94	Professional		$770.03	$804.88	$2,093.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,578.51 / $1,578.51 / $1,578.51	Facility		$1,578.51	$1,578.51	$1,578.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,247.02 / $1,578.51 / $1,578.51	Professional		$1,247.02	$1,578.51	$1,578.51