Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.63 / $1,341.85 / $1,341.85	Facility		$1,003.63	$1,341.85	$1,341.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.44 / $825.33 / $1,341.85	Professional		$572.44	$825.33	$1,341.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $2,015.44	Facility		$1,036.33	$1,036.33	$2,015.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.33 / $1,857.38 / $2,321.71	Professional		$1,036.33	$1,857.38	$2,321.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.93 / $1,832.22 / $2,152.80	Professional		$1,521.93	$1,832.22	$2,152.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,168.44 / $2,198.66 / $7,109.86	Facility		$1,168.44	$2,198.66	$7,109.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.47 / $1,028.33 / $2,401.28	Professional		$815.47	$1,028.33	$2,401.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,009.54 / $2,015.44 / $2,415.53	Facility		$2,009.54	$2,015.44	$2,415.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,577.43 / $2,170.46 / $3,851.47	Professional		$1,577.43	$2,170.46	$3,851.47
United Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $914.08 / $2,082.64	Professional		$773.75	$914.08	$2,082.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,795.58 / $1,795.58 / $1,795.58	Facility		$1,795.58	$1,795.58	$1,795.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,418.51 / $1,795.58 / $1,795.58	Professional		$1,418.51	$1,795.58	$1,795.58