Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,445.44	Facility		$1,023.29	$1,202.26	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,288.25	Professional		$616.60	$831.76	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Facility		$1,096.48	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,454.71	Professional		$1,096.48	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,905.46	Professional		$1,445.44	$1,698.24	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $7,244.36	Facility		$1,047.13	$1,995.26	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,570.40	Professional		$724.44	$1,047.13	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $2,089.30	Professional		$1,698.24	$1,737.80	$2,089.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $2,570.40	Professional		$1,584.89	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,238.72	Facility		$660.69	$1,071.52	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,412.54	Professional		$707.95	$794.33	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,513.56	Professional		$1,202.26	$1,513.56	$1,513.56