Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.66 / $2,262.21 / $2,262.21	Facility		$1,859.66	$2,262.21	$2,262.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.32 / $1,357.70 / $2,262.21	Professional		$1,045.32	$1,357.70	$2,262.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $2,536.44	Facility		$1,747.16	$1,747.16	$2,536.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.16 / $3,131.25 / $3,914.06	Professional		$1,747.16	$3,131.25	$3,914.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.40 / $2,700.85 / $2,883.92	Professional		$2,236.40	$2,700.85	$2,883.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.49 / $2,997.62 / $11,750.92	Facility		$1,470.49	$2,997.62	$11,750.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.77 / $1,503.70 / $3,150.49	Professional		$1,127.77	$1,503.70	$3,150.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,529.03 / $2,536.44 / $3,434.16	Facility		$2,529.03	$2,536.44	$3,434.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,178.81 / $2,997.62 / $4,847.13	Professional		$2,178.81	$2,997.62	$4,847.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.77 / $1,309.60 / $3,022.03	Professional		$1,127.77	$1,309.60	$3,022.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,259.73 / $2,259.73 / $2,259.73	Facility		$2,259.73	$2,259.73	$2,259.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,785.19 / $2,259.73 / $2,259.73	Professional		$1,785.19	$2,259.73	$2,259.73