Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.76 / $1,596.14 / $1,596.14	Facility		$1,255.76	$1,596.14	$1,596.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.01 / $1,036.65 / $1,596.14	Professional		$719.01	$1,036.65	$1,596.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,317.33	Facility		$1,232.72	$1,232.72	$2,317.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.72 / $2,209.13 / $2,761.41	Professional		$1,232.72	$2,209.13	$2,761.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.66 / $2,276.73 / $2,789.77	Professional		$1,790.66	$2,276.73	$2,789.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,343.46 / $2,706.97 / $9,329.16	Facility		$1,343.46	$2,706.97	$9,329.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.86 / $1,202.85 / $2,772.84	Professional		$971.86	$1,202.85	$2,772.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,310.56 / $2,317.33 / $2,777.34	Facility		$2,310.56	$2,317.33	$2,777.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,866.71 / $2,622.07 / $4,428.39	Professional		$1,866.71	$2,622.07	$4,428.39
United Facility/Professional Professional Modifier Low / Median / High Price $950.69 / $1,117.91 / $2,478.80	Professional		$950.69	$1,117.91	$2,478.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,064.53 / $2,064.53 / $2,064.53	Facility		$2,064.53	$2,064.53	$2,064.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,630.98 / $2,064.53 / $2,064.53	Professional		$1,630.98	$2,064.53	$2,064.53