Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.04 / $2,079.69 / $2,079.69	Facility		$1,519.04	$2,079.69	$2,079.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.76 / $1,254.00 / $1,898.99	Professional		$869.76	$1,254.00	$1,898.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $2,676.39	Facility		$1,606.19	$1,606.19	$2,676.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.19 / $2,878.50 / $3,598.13	Professional		$1,606.19	$2,878.50	$3,598.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.50 / $2,457.52 / $2,603.12	Professional		$2,110.50	$2,457.52	$2,603.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,551.61 / $3,163.00 / $11,048.78	Facility		$1,551.61	$3,163.00	$11,048.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.17 / $1,480.20 / $3,324.29	Professional		$1,163.17	$1,480.20	$3,324.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,668.55 / $2,676.39 / $3,207.67	Facility		$2,668.55	$2,676.39	$3,207.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,191.98 / $3,126.38 / $5,114.50	Professional		$2,191.98	$3,126.38	$5,114.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.63 / $1,254.30 / $3,188.75	Professional		$1,041.63	$1,254.30	$3,188.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,384.42 / $2,384.42 / $2,384.42	Facility		$2,384.42	$2,384.42	$2,384.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,883.69 / $2,384.42 / $2,384.42	Professional		$1,883.69	$2,384.42	$2,384.42