Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.37 / $1,706.30 / $1,706.30	Facility		$1,498.37	$1,706.30	$1,706.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.21 / $1,092.98 / $1,721.71	Professional		$853.21	$1,092.98	$1,721.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,229.84	Facility		$1,317.79	$1,317.79	$2,229.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.79 / $2,361.75 / $2,952.19	Professional		$1,317.79	$2,361.75	$2,952.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.83 / $2,037.14 / $2,162.94	Professional		$1,801.83	$2,037.14	$2,162.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.73 / $2,635.27 / $9,502.08	Facility		$1,292.73	$2,635.27	$9,502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $969.10 / $1,268.23 / $2,769.65	Professional		$969.10	$1,268.23	$2,769.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,223.32 / $2,229.84 / $2,764.59	Facility		$2,223.32	$2,229.84	$2,764.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,826.24 / $2,604.76 / $4,261.20	Professional		$1,826.24	$2,604.76	$4,261.20
United Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,079.93 / $2,648.28	Professional		$907.89	$1,079.93	$2,648.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,986.59 / $1,986.59 / $1,986.59	Facility		$1,986.59	$1,986.59	$1,986.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,569.41 / $1,986.59 / $1,986.59	Professional		$1,569.41	$1,986.59	$1,986.59