Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,630.27	Professional		$1,949.84	$2,344.23	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $9,332.54	Facility		$1,584.89	$2,691.53	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,890.45	Professional		$1,071.52	$1,348.96	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $3,019.95	Professional		$2,511.89	$2,630.27	$3,019.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $3,890.45	Professional		$2,041.74	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,884.03	Facility		$870.96	$1,348.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,995.26	Professional		$1,000.00	$1,174.90	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,238.72	Professional		$1,778.28	$2,238.72	$2,238.72