Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.74 / $2,097.59 / $2,097.59	Facility		$1,719.74	$2,097.59	$2,097.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.12 / $1,253.82 / $1,866.82	Professional		$888.12	$1,253.82	$1,866.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,600.30	Facility		$1,620.00	$1,620.00	$2,600.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $2,903.25 / $3,629.06	Professional		$1,620.00	$2,903.25	$3,629.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.96 / $2,504.29 / $2,990.39	Professional		$2,131.96	$2,504.29	$2,990.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,507.51 / $3,073.08 / $11,250.63	Facility		$1,507.51	$3,073.08	$11,250.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.10 / $1,454.86 / $3,229.81	Professional		$1,130.10	$1,454.86	$3,229.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,592.69 / $2,600.30 / $3,171.38	Facility		$2,592.69	$2,600.30	$3,171.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,129.67 / $3,037.51 / $4,969.16	Professional		$2,129.67	$3,037.51	$4,969.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.15 / $3,340.15 / $5,427.75	Facility		$3,340.15	$3,340.15	$5,427.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.10 / $1,218.65 / $2,781.49	Professional		$1,130.10	$1,218.65	$2,781.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,316.63 / $2,316.63 / $2,316.63	Facility		$2,316.63	$2,316.63	$2,316.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,830.14 / $2,316.63 / $2,316.63	Professional		$1,830.14	$2,316.63	$2,316.63