Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.47 / $1,311.47 / $1,830.97	Facility		$1,311.47	$1,311.47	$1,830.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $1,133.61 / $2,030.15	Professional		$824.09	$1,133.61	$2,030.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $2,076.23	Facility		$1,179.41	$1,179.41	$2,076.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $2,188.13 / $2,735.16	Professional		$1,179.41	$2,188.13	$2,735.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.11 / $1,989.36 / $2,188.48	Professional		$1,793.11	$1,989.36	$2,188.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,185.71 / $2,425.32 / $10,013.70	Facility		$1,185.71	$2,425.32	$10,013.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.33 / $1,063.83 / $2,578.84	Professional		$902.33	$1,063.83	$2,578.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,070.15 / $2,076.23 / $2,867.38	Facility		$2,070.15	$2,076.23	$2,867.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,879.86 / $2,453.71 / $3,967.61	Professional		$1,879.86	$2,453.71	$3,967.61
United Facility/Professional Professional Modifier Low / Median / High Price $921.99 / $941.64 / $2,220.88	Professional		$921.99	$941.64	$2,220.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,849.73 / $1,849.73 / $1,849.73	Facility		$1,849.73	$1,849.73	$1,849.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,461.29 / $1,849.73 / $1,849.73	Professional		$1,461.29	$1,849.73	$1,849.73