Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.66 / $2,041.47 / $2,041.47	Facility		$1,642.66	$2,041.47	$2,041.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.48 / $1,190.08 / $1,756.18	Professional		$835.48	$1,190.08	$1,756.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,220.73	Facility		$1,576.65	$1,576.65	$2,220.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.65 / $2,825.63 / $3,532.03	Professional		$1,576.65	$2,825.63	$3,532.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,958.04 / $2,437.29 / $2,712.19	Professional		$1,958.04	$2,437.29	$2,712.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.45 / $2,624.51 / $9,757.10	Facility		$1,287.45	$2,624.51	$9,757.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $965.14 / $1,289.60 / $2,758.32	Professional		$965.14	$1,289.60	$2,758.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,214.23 / $2,220.73 / $2,850.19	Facility		$2,214.23	$2,220.73	$2,850.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,924.56 / $2,594.12 / $4,243.77	Professional		$1,924.56	$2,594.12	$4,243.77
United Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,113.36 / $2,645.86	Professional		$936.00	$1,113.36	$2,645.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,978.47 / $1,978.47 / $1,978.47	Facility		$1,978.47	$1,978.47	$1,978.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,562.99 / $1,978.47 / $1,978.47	Professional		$1,562.99	$1,978.47	$1,978.47