Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,778.28	Facility		$1,584.89	$1,584.89	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,778.28	Professional		$870.96	$1,174.90	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,090.30	Professional		$1,380.38	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,511.89	Professional		$1,778.28	$2,137.96	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $10,232.93	Facility		$1,412.54	$2,630.27	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $3,388.44	Professional		$1,000.00	$1,479.11	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $3,090.30	Professional		$2,238.72	$2,344.23	$3,090.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $3,388.44	Professional		$2,344.23	$3,388.44	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,584.89 / $3,311.31	Facility		$851.14	$1,584.89	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,862.09	Professional		$1,000.00	$1,096.48	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $1,995.26	Professional		$1,584.89	$1,995.26	$1,995.26