Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.93 / $2,119.94 / $2,119.94	Facility		$1,590.93	$2,119.94	$2,119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.64 / $1,235.83 / $2,119.94	Professional		$878.64	$1,235.83	$2,119.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $3,008.32	Facility		$1,637.27	$1,637.27	$3,008.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.27 / $2,934.00 / $3,667.50	Professional		$1,637.27	$2,934.00	$3,667.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,324.61 / $2,778.65 / $3,404.79	Professional		$2,324.61	$2,778.65	$3,404.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,744.06 / $3,281.81 / $10,648.17	Facility		$1,744.06	$3,281.81	$10,648.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.20 / $1,539.76 / $3,682.81	Professional		$1,217.20	$1,539.76	$3,682.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,999.53 / $3,008.32 / $3,605.51	Facility		$2,999.53	$3,008.32	$3,605.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,354.54 / $3,239.72 / $5,748.87	Professional		$2,354.54	$3,239.72	$5,748.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.65 / $1,378.39 / $3,217.91	Professional		$1,182.65	$1,378.39	$3,217.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,680.14 / $2,680.14 / $2,680.14	Facility		$2,680.14	$2,680.14	$2,680.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,117.31 / $2,680.14 / $2,680.14	Professional		$2,117.31	$2,680.14	$2,680.14