Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.60 / $2,098.23 / $2,098.23	Facility		$1,652.60	$2,098.23	$2,098.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.60 / $1,245.10 / $1,815.28	Professional		$863.60	$1,245.10	$1,815.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,428.78	Facility		$1,295.39	$1,295.39	$2,428.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.39 / $2,904.00 / $3,630.00	Professional		$1,295.39	$2,904.00	$3,630.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,097.58 / $2,505.05 / $2,684.50	Professional		$2,097.58	$2,505.05	$2,684.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.07 / $2,870.37 / $10,873.70	Facility		$1,408.07	$2,870.37	$10,873.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,055.56 / $1,410.42 / $3,016.75	Professional		$1,055.56	$1,410.42	$3,016.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,421.67 / $2,428.78 / $3,149.36	Facility		$2,421.67	$2,428.78	$3,149.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,989.19 / $2,838.56 / $4,641.33	Professional		$1,989.19	$2,838.56	$4,641.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.56 / $1,138.26 / $2,597.88	Professional		$1,055.56	$1,138.26	$2,597.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,163.82 / $2,163.82 / $2,163.82	Facility		$2,163.82	$2,163.82	$2,163.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,709.42 / $2,163.82 / $2,163.82	Professional		$1,709.42	$2,163.82	$2,163.82