Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.13 / $2,513.48 / $2,513.48	Facility		$1,785.13	$2,513.48	$2,513.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $1,465.25 / $2,133.94	Professional		$949.79	$1,465.25	$2,133.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $3,007.51	Facility		$1,424.68	$1,424.68	$3,007.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,750.36 / $3,478.88 / $4,348.59	Professional		$2,750.36	$3,478.88	$4,348.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,393.69 / $2,769.04 / $3,000.82	Professional		$2,393.69	$2,769.04	$3,000.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,743.58 / $3,513.19 / $12,107.67	Facility		$1,743.58	$3,513.19	$12,107.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,283.79 / $1,632.12 / $3,735.59	Professional		$1,283.79	$1,632.12	$3,735.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,998.72 / $3,007.51 / $3,604.53	Facility		$2,998.72	$3,007.51	$3,604.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,463.17 / $3,463.66 / $5,747.29	Professional		$2,463.17	$3,463.66	$5,747.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.08 / $1,409.48 / $3,583.27	Professional		$1,307.08	$1,409.48	$3,583.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,679.42 / $2,679.42 / $2,679.42	Facility		$2,679.42	$2,679.42	$2,679.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,116.73 / $2,679.42 / $2,679.42	Professional		$2,116.73	$2,679.42	$2,679.42