Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.83 / $1,955.99 / $1,955.99	Facility		$1,480.83	$1,955.99	$1,955.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.89 / $1,222.46 / $1,907.25	Professional		$847.89	$1,222.46	$1,907.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,688.02	Facility		$1,271.83	$1,271.83	$2,688.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.83 / $2,707.13 / $3,383.91	Professional		$1,271.83	$2,707.13	$3,383.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.10 / $2,368.52 / $2,631.69	Professional		$2,077.10	$2,368.52	$2,631.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,558.36 / $3,139.98 / $11,043.30	Facility		$1,558.36	$3,139.98	$11,043.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.05 / $1,420.66 / $3,338.75	Professional		$1,146.05	$1,420.66	$3,338.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,680.16 / $2,688.02 / $3,221.61	Facility		$2,680.16	$2,688.02	$3,221.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,201.52 / $3,092.04 / $5,136.78	Professional		$2,201.52	$3,092.04	$5,136.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.05 / $1,259.75 / $3,035.81	Professional		$1,146.05	$1,259.75	$3,035.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,394.78 / $2,394.78 / $2,394.78	Facility		$2,394.78	$2,394.78	$2,394.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,891.88 / $2,394.78 / $2,394.78	Professional		$1,891.88	$2,394.78	$2,394.78