Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.92 / $2,543.56 / $2,543.56	Facility		$1,766.92	$2,543.56	$2,543.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.28 / $1,482.78 / $2,206.02	Professional		$962.28	$1,482.78	$2,206.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $3,109.12	Facility		$1,964.43	$1,964.43	$3,109.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,964.43 / $3,520.50 / $4,400.63	Professional		$1,964.43	$3,520.50	$4,400.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.21 / $3,036.73 / $3,322.88	Professional		$2,581.21	$3,036.73	$3,322.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,802.48 / $3,631.86 / $12,160.93	Facility		$1,802.48	$3,631.86	$12,160.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,303.75 / $1,649.18 / $3,861.77	Professional		$1,303.75	$1,649.18	$3,861.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,100.01 / $3,109.12 / $3,726.30	Facility		$3,100.01	$3,109.12	$3,726.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,504.50 / $3,509.24 / $5,941.45	Professional		$2,504.50	$3,509.24	$5,941.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.68 / $1,457.09 / $3,704.31	Professional		$1,300.68	$1,457.09	$3,704.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,769.94 / $2,769.94 / $2,769.94	Facility		$2,769.94	$2,769.94	$2,769.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,188.25 / $2,769.94 / $2,769.94	Professional		$2,188.25	$2,769.94	$2,769.94