Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.72 / $2,551.00 / $2,551.00	Facility		$1,975.72	$2,551.00	$2,551.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.24 / $1,507.96 / $2,367.67	Professional		$1,121.24	$1,507.96	$2,367.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,777.53	Facility		$2,119.51	$2,119.51	$2,777.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.51 / $3,530.63 / $4,413.28	Professional		$2,119.51	$3,530.63	$4,413.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.94 / $3,045.61 / $3,554.27	Professional		$2,448.94	$3,045.61	$3,554.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,610.25 / $3,282.54 / $13,256.99	Facility		$1,610.25	$3,282.54	$13,256.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,248.47 / $1,670.11 / $3,449.91	Professional		$1,248.47	$1,670.11	$3,449.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,772.00 / $2,777.53 / $3,814.21	Facility		$2,772.00	$2,777.53	$3,814.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,314.83 / $3,282.54 / $5,307.79	Professional		$2,314.83	$3,282.54	$5,307.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.47 / $1,259.71 / $3,309.25	Professional		$1,248.47	$1,259.71	$3,309.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,474.53 / $2,474.53 / $2,474.53	Facility		$2,474.53	$2,474.53	$2,474.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,954.88 / $2,474.53 / $2,474.53	Professional		$1,954.88	$2,474.53	$2,474.53