Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.04 / $1,780.64 / $1,780.64	Facility		$1,472.04	$1,780.64	$1,780.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $1,049.50 / $1,618.76	Professional		$727.92	$1,049.50	$1,618.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,281.44	Facility		$1,375.24	$1,375.24	$2,281.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.24 / $2,464.50 / $3,080.63	Professional		$1,375.24	$2,464.50	$3,080.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.02 / $2,125.90 / $2,310.73	Professional		$1,807.02	$2,125.90	$2,310.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,322.65 / $2,665.04 / $9,328.83	Facility		$1,322.65	$2,665.04	$9,328.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $983.90 / $1,261.76 / $2,833.73	Professional		$983.90	$1,261.76	$2,833.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,274.76 / $2,281.44 / $2,734.33	Facility		$2,274.76	$2,281.44	$2,734.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,868.50 / $2,654.56 / $4,359.78	Professional		$1,868.50	$2,654.56	$4,359.78
United Facility/Professional Professional Modifier Low / Median / High Price $983.90 / $1,069.20 / $2,440.27	Professional		$983.90	$1,069.20	$2,440.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,032.56 / $2,032.56 / $2,032.56	Facility		$2,032.56	$2,032.56	$2,032.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,605.72 / $2,032.56 / $2,032.56	Professional		$1,605.72	$2,032.56	$2,032.56