Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $1,445.44	Facility		$1,000.00	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,380.38	Professional		$588.84	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,041.74	Facility		$1,047.13	$1,047.13	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,344.23	Professional		$1,047.13	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,137.96	Professional		$1,479.11	$1,819.70	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $7,079.46	Facility		$1,258.93	$2,089.30	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $3,090.30	Professional		$851.14	$1,047.13	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,398.83	Professional		$1,995.26	$2,089.30	$2,398.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $3,090.30	Professional		$1,584.89	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,238.72	Facility		$676.08	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,584.89	Professional		$776.25	$912.01	$1,584.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,778.28	Professional		$1,412.54	$1,778.28	$1,778.28