Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.69 / $1,771.06 / $1,771.06	Facility		$1,644.69	$1,771.06	$1,771.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.43 / $1,227.57 / $1,771.06	Professional		$851.43	$1,227.57	$1,771.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,248.28	Facility		$1,367.82	$1,367.82	$2,248.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.82 / $2,451.38 / $3,064.22	Professional		$1,367.82	$2,451.38	$3,064.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.32 / $2,114.46 / $2,519.30	Professional		$1,982.32	$2,114.46	$2,519.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,303.42 / $2,657.06 / $10,228.89	Facility		$1,303.42	$2,657.06	$10,228.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.58 / $1,359.57 / $2,792.55	Professional		$1,010.58	$1,359.57	$2,792.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,241.71 / $2,248.28 / $3,104.99	Facility		$2,241.71	$2,248.28	$3,104.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,926.97 / $2,642.37 / $4,296.42	Professional		$1,926.97	$2,642.37	$4,296.42
United Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1,010.58 / $1,536.34	Facility		$1.63	$1,010.58	$1,536.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.58 / $1,212.90 / $2,678.69	Professional		$1,010.58	$1,212.90	$2,678.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,003.01 / $2,003.01 / $2,003.01	Facility		$2,003.01	$2,003.01	$2,003.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,582.38 / $2,003.01 / $2,003.01	Professional		$1,582.38	$2,003.01	$2,003.01