Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.64 / $1,746.86 / $1,746.86	Facility		$1,377.64	$1,746.86	$1,746.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.69 / $1,088.08 / $1,715.00	Professional		$754.69	$1,088.08	$1,715.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $2,417.07	Facility		$1,349.13	$1,349.13	$2,417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.43 / $2,417.63 / $3,022.03	Professional		$1,950.43	$2,417.63	$3,022.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.74 / $2,197.34 / $2,618.78	Professional		$1,867.74	$2,197.34	$2,618.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,401.28 / $2,823.47 / $9,687.79	Facility		$1,401.28	$2,823.47	$9,687.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.08 / $1,268.78 / $3,002.21	Professional		$1,020.08	$1,268.78	$3,002.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,410.00 / $2,417.07 / $2,896.88	Facility		$2,410.00	$2,417.07	$2,896.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,979.59 / $2,752.19 / $4,618.97	Professional		$1,979.59	$2,752.19	$4,618.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.08 / $1,166.02 / $2,711.23	Professional		$1,020.08	$1,166.02	$2,711.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,153.39 / $2,153.39 / $2,153.39	Facility		$2,153.39	$2,153.39	$2,153.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,701.18 / $2,153.39 / $2,153.39	Professional		$1,701.18	$2,153.39	$2,153.39