Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,041.74	Facility		$1,445.44	$1,445.44	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,621.81	Professional		$794.33	$1,174.90	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,089.30	Facility		$1,174.90	$1,174.90	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $3,467.37	Professional		$1,174.90	$2,818.38	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,454.71	Professional		$1,819.70	$2,290.87	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $9,772.37	Facility		$1,288.25	$2,454.71	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,548.13	Professional		$933.25	$1,412.54	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,818.38	Professional		$2,041.74	$2,137.96	$2,818.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $3,090.30	Professional		$2,137.96	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $3,019.95	Facility		$776.25	$1,445.44	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,778.28	Professional		$933.25	$1,000.00	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,819.70	Professional		$1,445.44	$1,819.70	$1,819.70