Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,090.30	Professional		$2,454.71	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $8,511.38	Facility		$1,412.54	$2,398.83	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $3,467.37	Professional		$954.99	$1,230.27	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,691.53	Professional		$2,290.87	$2,344.23	$2,691.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $3,467.37	Professional		$1,819.70	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,630.27	Facility		$794.33	$1,230.27	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,819.70	Professional		$891.25	$1,047.13	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,041.74	Professional		$1,584.89	$2,041.74	$2,041.74