Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.99 / $2,009.06 / $2,009.06	Facility		$1,656.99	$2,009.06	$2,009.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,367.87 / $1,994.26	Professional		$948.75	$1,367.87	$1,994.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,741.66	Facility		$1,654.54	$1,654.54	$2,741.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.54 / $2,780.63 / $3,475.78	Professional		$1,654.54	$2,780.63	$3,475.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,277.50 / $2,622.24 / $3,213.14	Professional		$2,277.50	$2,622.24	$3,213.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,589.45 / $3,240.15 / $12,123.54	Facility		$1,589.45	$3,240.15	$12,123.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,191.54 / $1,587.20 / $3,405.38	Professional		$1,191.54	$1,587.20	$3,405.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,733.63 / $2,741.66 / $3,459.87	Facility		$2,733.63	$2,741.66	$3,459.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,245.44 / $3,202.63 / $5,239.27	Professional		$2,245.44	$3,202.63	$5,239.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.54 / $1,415.57 / $3,118.18	Professional		$1,191.54	$1,415.57	$3,118.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,442.57 / $2,442.57 / $2,442.57	Facility		$2,442.57	$2,442.57	$2,442.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,929.63 / $2,442.57 / $2,442.57	Professional		$1,929.63	$2,442.57	$2,442.57