Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,916.50 / $2,156.67 / $2,156.67	Facility		$1,916.50	$2,156.67	$2,156.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.33 / $1,374.42 / $2,564.86	Professional		$1,023.33	$1,374.42	$2,564.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $2,517.23	Facility		$1,665.63	$1,665.63	$2,517.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.63 / $2,985.00 / $3,731.25	Professional		$1,665.63	$2,985.00	$3,731.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,219.44 / $2,714.75 / $3,258.80	Professional		$2,219.44	$2,714.75	$3,258.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,459.35 / $3,016.93 / $12,133.56	Facility		$1,459.35	$3,016.93	$12,133.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.47 / $1,522.21 / $3,126.62	Professional		$1,131.47	$1,522.21	$3,126.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,509.87 / $2,517.23 / $3,476.41	Facility		$2,509.87	$2,517.23	$3,476.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,245.42 / $2,974.92 / $4,810.35	Professional		$2,245.42	$2,974.92	$4,810.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.47 / $1,179.71 / $2,692.53	Professional		$1,131.47	$1,179.71	$2,692.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,242.63 / $2,242.63 / $2,242.63	Facility		$2,242.63	$2,242.63	$2,242.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,771.68 / $2,242.63 / $2,242.63	Professional		$1,771.68	$2,242.63	$2,242.63