Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.25 / $1,519.35 / $1,519.35	Facility		$1,195.25	$1,519.35	$1,519.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.85 / $891.74 / $1,347.13	Professional		$618.85	$891.74	$1,347.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,898.60	Facility		$1,232.20	$1,232.20	$1,898.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $2,103.00 / $2,628.75	Professional		$1,232.20	$2,103.00	$2,628.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.84 / $1,813.93 / $1,942.28	Professional		$1,541.84	$1,813.93	$1,942.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.70 / $2,243.80 / $7,733.84	Facility		$1,100.70	$2,243.80	$7,733.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $825.14 / $1,050.02 / $2,358.21	Professional		$825.14	$1,050.02	$2,358.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,893.05 / $1,898.60 / $2,275.48	Facility		$1,893.05	$1,898.60	$2,275.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,554.95 / $2,217.83 / $3,628.19	Professional		$1,554.95	$2,217.83	$3,628.19
United Facility/Professional Professional Modifier Low / Median / High Price $825.14 / $889.79 / $2,262.07	Professional		$825.14	$889.79	$2,262.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,691.48 / $1,691.48 / $1,691.48	Facility		$1,691.48	$1,691.48	$1,691.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,336.27 / $1,691.48 / $1,691.48	Professional		$1,336.27	$1,691.48	$1,691.48