Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Facility		$1,202.26	$1,202.26	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,737.80	Professional		$831.76	$1,071.52	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,187.76	Facility		$1,202.26	$1,202.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $2,818.38	Professional		$1,202.26	$2,238.72	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,041.74	Professional		$1,659.59	$1,949.84	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $10,000.00	Facility		$1,318.26	$2,454.71	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $3,235.94	Professional		$933.25	$1,230.27	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,951.21	Professional		$2,137.96	$2,187.76	$2,951.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $3,235.94	Professional		$2,238.72	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $3,162.28	Facility		$741.31	$1,288.25	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,778.28	Professional		$954.99	$954.99	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $1,905.46	Professional		$1,479.11	$1,905.46	$1,905.46