Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.24 / $2,478.41 / $2,478.41	Facility		$1,851.24	$2,478.41	$2,478.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.32 / $1,457.30 / $2,478.41	Professional		$1,071.32	$1,457.30	$2,478.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,513.71	Facility		$1,800.00	$1,800.00	$2,513.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $3,430.50 / $4,288.13	Professional		$1,800.00	$3,430.50	$4,288.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.33 / $2,940.96 / $3,115.20	Professional		$2,216.33	$2,940.96	$3,115.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,457.30 / $3,012.70 / $11,959.60	Facility		$1,457.30	$3,012.70	$11,959.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,520.07 / $3,122.23	Professional		$1,129.88	$1,520.07	$3,122.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,506.35 / $2,513.71 / $3,471.55	Facility		$2,506.35	$2,513.71	$3,471.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,168.98 / $2,970.75 / $4,803.62	Professional		$2,168.98	$2,970.75	$4,803.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.88 / $1,178.06 / $2,994.92	Professional		$1,129.88	$1,178.06	$2,994.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,239.48 / $2,239.48 / $2,239.48	Facility		$2,239.48	$2,239.48	$2,239.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,769.20 / $2,239.48 / $2,239.48	Professional		$1,769.20	$2,239.48	$2,239.48