Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.29 / $2,536.78 / $2,536.78	Facility		$2,046.29	$2,536.78	$2,536.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.21 / $1,482.84 / $2,281.29	Professional		$1,062.21	$1,482.84	$2,281.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $2,616.44	Facility		$1,486.28	$1,486.28	$2,616.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.28 / $3,511.13 / $4,388.91	Professional		$1,486.28	$3,511.13	$4,388.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.92 / $3,007.80 / $3,186.00	Professional		$2,306.92	$3,007.80	$3,186.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,516.86 / $3,135.82 / $12,494.15	Facility		$1,516.86	$3,135.82	$12,494.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,176.06 / $1,582.20 / $3,249.84	Professional		$1,176.06	$1,582.20	$3,249.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,608.79 / $2,616.44 / $3,613.42	Facility		$2,608.79	$2,616.44	$3,613.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,368.98 / $3,092.15 / $4,999.93	Professional		$2,368.98	$3,092.15	$4,999.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.06 / $1,411.52 / $3,117.33	Professional		$1,176.06	$1,411.52	$3,117.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,331.01 / $2,331.01 / $2,331.01	Facility		$2,331.01	$2,331.01	$2,331.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,841.50 / $2,331.01 / $2,331.01	Professional		$1,841.50	$2,331.01	$2,331.01