Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.75 / $1,619.75 / $1,875.90	Facility		$1,619.75	$1,619.75	$1,875.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.57 / $1,161.45 / $1,693.30	Professional		$805.57	$1,161.45	$1,693.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,438.48	Facility		$1,226.77	$1,226.77	$2,438.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.77 / $2,241.75 / $2,802.19	Professional		$1,226.77	$2,241.75	$2,802.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $2,216.80 / $2,489.80	Professional		$1,933.80	$2,216.80	$2,489.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,413.69 / $2,848.47 / $10,120.69	Facility		$1,413.69	$2,848.47	$10,120.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.77 / $1,348.61 / $2,937.73	Professional		$1,059.77	$1,348.61	$2,937.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,431.34 / $2,438.48 / $2,937.73	Facility		$2,431.34	$2,438.48	$2,937.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,997.11 / $2,848.47 / $4,659.87	Professional		$1,997.11	$2,848.47	$4,659.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.77 / $1,147.57 / $2,608.35	Professional		$1,059.77	$1,147.57	$2,608.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,172.46 / $2,172.46 / $2,172.46	Facility		$2,172.46	$2,172.46	$2,172.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,716.24 / $2,172.46 / $2,172.46	Professional		$1,716.24	$2,172.46	$2,172.46