Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.33 / $1,330.08 / $1,330.08	Facility		$1,170.33	$1,330.08	$1,330.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.09 / $852.21 / $1,342.10	Professional		$665.09	$852.21	$1,342.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,738.15	Facility		$1,111.22	$1,111.22	$1,738.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.10 / $1,840.88 / $2,301.09	Professional		$1,485.10	$1,840.88	$2,301.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.58 / $1,685.25 / $2,065.00	Professional		$1,508.58	$1,685.25	$2,065.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,007.69 / $2,054.17 / $7,396.37	Facility		$1,007.69	$2,054.17	$7,396.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.41 / $988.85 / $2,158.92	Professional		$755.41	$988.85	$2,158.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,733.08 / $1,738.15 / $2,155.56	Facility		$1,733.08	$1,738.15	$2,155.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,423.56 / $2,030.41 / $3,321.58	Professional		$1,423.56	$2,030.41	$3,321.58
United Facility/Professional Professional Modifier Low / Median / High Price $728.86 / $818.12 / $2,064.37	Professional		$728.86	$818.12	$2,064.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,548.54 / $1,548.54 / $1,548.54	Facility		$1,548.54	$1,548.54	$1,548.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,223.34 / $1,548.54 / $1,548.54	Professional		$1,223.34	$1,548.54	$1,548.54