Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.89 / $1,834.40 / $1,834.40	Facility		$1,610.89	$1,834.40	$1,834.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.30 / $1,175.08 / $1,851.02	Professional		$917.30	$1,175.08	$1,851.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $2,397.29	Facility		$1,222.54	$1,222.54	$2,397.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.17 / $2,539.13 / $3,173.91	Professional		$2,048.17	$2,539.13	$3,173.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.57 / $2,264.96 / $2,775.36	Professional		$2,080.57	$2,264.96	$2,775.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,389.81 / $2,833.16 / $10,198.75	Facility		$1,389.81	$2,833.16	$10,198.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,041.88 / $1,363.50 / $2,977.64	Professional		$1,041.88	$1,363.50	$2,977.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,390.27 / $2,397.29 / $2,972.22	Facility		$2,390.27	$2,397.29	$2,972.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,963.40 / $2,800.36 / $4,581.20	Professional		$1,963.40	$2,800.36	$4,581.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,130.40 / $3,130.40 / $5,086.91	Facility		$3,130.40	$3,130.40	$5,086.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.88 / $1,289.83 / $2,564.32	Professional		$1,041.88	$1,289.83	$2,564.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,135.76 / $2,135.76 / $2,135.76	Facility		$2,135.76	$2,135.76	$2,135.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,687.25 / $2,135.76 / $2,135.76	Professional		$1,687.25	$2,135.76	$2,135.76