Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,041.74	Facility		$1,584.89	$1,584.89	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,737.80	Professional		$851.14	$1,148.15	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,290.87	Facility		$1,584.89	$1,584.89	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $3,548.13	Professional		$1,584.89	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,691.53	Professional		$1,905.46	$2,454.71	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $9,772.37	Facility		$1,380.38	$2,570.40	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,548.13	Professional		$954.99	$1,412.54	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $2,818.38	Professional		$2,238.72	$2,290.87	$2,818.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $3,388.44	Professional		$2,137.96	$3,388.44	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,090.30	Facility		$794.33	$1,445.44	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,905.46	Professional		$933.25	$1,071.52	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $1,995.26	Professional		$1,548.82	$1,995.26	$1,995.26