Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $1,405.48	Facility		$1,342.27	$1,342.27	$1,405.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.31 / $1,160.25 / $1,725.38	Professional		$858.31	$1,160.25	$1,725.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,124.98	Facility		$1,207.09	$1,207.09	$2,124.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.09 / $2,239.50 / $2,799.38	Professional		$1,207.09	$2,239.50	$2,799.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,835.21 / $1,931.80 / $2,028.41	Professional		$1,835.21	$1,931.80	$2,028.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.56 / $2,482.27 / $9,986.98	Facility		$1,213.56	$2,482.27	$9,986.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.53 / $1,088.82 / $2,639.41	Professional		$923.53	$1,088.82	$2,639.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,118.77 / $2,124.98 / $2,934.69	Facility		$2,118.77	$2,124.98	$2,934.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,740.37 / $2,482.27 / $4,060.80	Professional		$1,740.37	$2,482.27	$4,060.80
United Facility/Professional Professional Modifier Low / Median / High Price $923.53 / $965.32 / $2,272.96	Professional		$923.53	$965.32	$2,272.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,893.16 / $1,893.16 / $1,893.16	Facility		$1,893.16	$1,893.16	$1,893.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,495.60 / $1,893.16 / $1,893.16	Professional		$1,495.60	$1,893.16	$1,893.16