Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.18 / $2,025.61 / $2,025.61	Facility		$1,812.18	$2,025.61	$2,025.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.20 / $1,180.83 / $1,635.78	Professional		$778.20	$1,180.83	$1,635.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,054.91	Facility		$1,167.30	$1,167.30	$2,054.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.30 / $2,803.50 / $3,504.38	Professional		$1,167.30	$2,803.50	$3,504.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.82 / $2,304.86 / $2,441.42	Professional		$1,811.82	$2,304.86	$2,441.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,191.32 / $2,462.83 / $9,793.70	Facility		$1,191.32	$2,462.83	$9,793.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.66 / $1,242.64 / $2,552.38	Professional		$923.66	$1,242.64	$2,552.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,048.90 / $2,054.91 / $2,837.93	Facility		$2,048.90	$2,054.91	$2,837.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,860.56 / $2,428.53 / $3,926.91	Professional		$1,860.56	$2,428.53	$3,926.91
United Facility/Professional Professional Modifier Low / Median / High Price $893.07 / $1,051.86 / $2,448.31	Professional		$893.07	$1,051.86	$2,448.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,830.74 / $1,830.74 / $1,830.74	Facility		$1,830.74	$1,830.74	$1,830.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,446.28 / $1,830.74 / $1,830.74	Professional		$1,446.28	$1,830.74	$1,830.74