Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.79 / $2,037.47 / $2,037.47	Facility		$1,492.79	$2,037.47	$2,037.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.73 / $1,187.76 / $1,753.95	Professional		$814.73	$1,187.76	$1,753.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,407.75	Facility		$1,573.58	$1,573.58	$2,407.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.58 / $2,820.00 / $3,525.00	Professional		$1,573.58	$2,820.00	$3,525.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.29 / $2,328.98 / $2,466.96	Professional		$2,013.29	$2,328.98	$2,466.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,395.87 / $2,812.58 / $9,671.83	Facility		$1,395.87	$2,812.58	$9,671.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,027.25 / $1,331.63 / $2,990.61	Professional		$1,027.25	$1,331.63	$2,990.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,400.69 / $2,407.75 / $2,885.71	Facility		$2,400.69	$2,407.75	$2,885.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,957.00 / $2,771.52 / $4,601.14	Professional		$1,957.00	$2,771.52	$4,601.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.25 / $1,103.21 / $2,575.51	Professional		$1,027.25	$1,103.21	$2,575.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,145.08 / $2,145.08 / $2,145.08	Facility		$2,145.08	$2,145.08	$2,145.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,694.61 / $2,145.08 / $2,145.08	Professional		$1,694.61	$2,145.08	$2,145.08