Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.81 / $2,071.67 / $2,071.67	Facility		$1,773.81	$2,071.67	$2,071.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.96 / $1,304.74 / $2,071.67	Professional		$904.96	$1,304.74	$2,071.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,980.79	Facility		$1,599.98	$1,599.98	$2,980.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.98 / $2,867.25 / $3,584.06	Professional		$1,599.98	$2,867.25	$3,584.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.34 / $2,660.31 / $2,955.90	Professional		$2,303.34	$2,660.31	$2,955.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,728.09 / $3,475.82 / $11,580.89	Facility		$1,728.09	$3,475.82	$11,580.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,249.93 / $1,550.93 / $3,598.96	Professional		$1,249.93	$1,550.93	$3,598.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,972.07 / $2,980.79 / $3,572.51	Facility		$2,972.07	$2,980.79	$3,572.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,416.00 / $3,300.19 / $5,696.23	Professional		$2,416.00	$3,300.19	$5,696.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.20 / $1,351.90 / $2,579.23	Professional		$1,223.20	$1,351.90	$2,579.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,655.61 / $2,655.61 / $2,655.61	Facility		$2,655.61	$2,655.61	$2,655.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,097.92 / $2,655.61 / $2,655.61	Professional		$2,097.92	$2,655.61	$2,655.61