Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,513.56	Facility		$1,258.93	$1,380.38	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,380.38	Professional		$660.69	$912.01	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,995.26	Facility		$1,258.93	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,570.40	Professional		$1,258.93	$2,089.30	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,949.84	Professional		$1,548.82	$1,778.28	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $8,128.31	Facility		$1,202.26	$2,290.87	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,951.21	Professional		$851.14	$1,148.15	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,344.23	Professional		$1,949.84	$2,041.74	$2,344.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $2,951.21	Professional		$1,778.28	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,511.89	Facility		$758.58	$1,288.25	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,621.81	Professional		$812.83	$891.25	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Professional		$1,380.38	$1,737.80	$1,737.80