Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.45 / $1,714.56 / $1,714.56	Facility		$1,602.45	$1,714.56	$1,714.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.70 / $1,013.15 / $1,590.63	Professional		$737.70	$1,013.15	$1,590.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,888.13	Facility		$1,324.18	$1,324.18	$1,888.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.18 / $2,373.00 / $2,966.25	Professional		$1,324.18	$2,373.00	$2,966.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.77 / $2,047.00 / $2,402.01	Professional		$1,664.77	$2,047.00	$2,402.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.63 / $2,231.42 / $8,608.62	Facility		$1,094.63	$2,231.42	$8,608.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $824.12 / $1,098.82 / $2,345.21	Professional		$824.12	$1,098.82	$2,345.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,882.61 / $1,888.13 / $2,509.50	Facility		$1,882.61	$1,888.13	$2,509.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,709.58 / $2,231.42 / $3,608.19	Professional		$1,709.58	$2,231.42	$3,608.19
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.12 / $910.86 / $2,019.66	Professional		$824.12	$910.86	$2,019.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,682.15 / $1,682.15 / $1,682.15	Facility		$1,682.15	$1,682.15	$1,682.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,328.90 / $1,682.15 / $1,682.15	Professional		$1,328.90	$1,682.15	$1,682.15