Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.26 / $1,781.01 / $1,781.01	Facility		$1,160.26	$1,781.01	$1,781.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.33 / $1,038.25 / $1,613.57	Professional		$664.33	$1,038.25	$1,613.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $2,274.12	Facility		$1,020.64	$1,020.64	$2,274.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.64 / $2,465.25 / $3,081.56	Professional		$1,020.64	$2,465.25	$3,081.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.88 / $2,028.24 / $2,126.34	Professional		$1,720.88	$2,028.24	$2,126.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.41 / $2,551.61 / $8,461.77	Facility		$1,318.41	$2,551.61	$8,461.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $946.37 / $1,174.18 / $2,824.66	Professional		$946.37	$1,174.18	$2,824.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,267.46 / $2,274.12 / $2,725.56	Facility		$2,267.46	$2,274.12	$2,725.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,830.64 / $2,449.05 / $4,345.82	Professional		$1,830.64	$2,449.05	$4,345.82
United Facility/Professional Professional Modifier Low / Median / High Price $919.50 / $1,060.81 / $2,518.65	Professional		$919.50	$1,060.81	$2,518.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,026.03 / $2,026.03 / $2,026.03	Facility		$2,026.03	$2,026.03	$2,026.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,600.56 / $2,026.03 / $2,026.03	Professional		$1,600.56	$2,026.03	$2,026.03