Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,479.11	Professional		$691.83	$954.99	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,137.96	Facility		$1,023.29	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $2,570.40	Professional		$1,023.29	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,041.74	Professional		$1,621.81	$1,905.46	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $8,511.38	Facility		$1,318.26	$2,454.71	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $3,162.28	Professional		$891.25	$1,230.27	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,454.71	Professional		$2,089.30	$2,187.76	$2,454.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $3,162.28	Professional		$1,862.09	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,630.27	Facility		$812.83	$1,258.93	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,737.80	Professional		$870.96	$954.99	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $1,862.09	Professional		$1,479.11	$1,862.09	$1,862.09