Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.56 / $1,406.03 / $1,406.03	Facility		$1,348.56	$1,406.03	$1,406.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.75 / $873.36 / $1,287.85	Professional		$605.75	$873.36	$1,287.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,815.07	Facility		$908.63	$908.63	$1,815.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.63 / $1,945.88 / $2,432.34	Professional		$908.63	$1,945.88	$2,432.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.88 / $1,678.64 / $1,858.70	Professional		$1,516.88	$1,678.64	$1,858.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,052.28 / $2,145.08 / $7,783.07	Facility		$1,052.28	$2,145.08	$7,783.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.84 / $1,013.39 / $2,254.48	Professional		$788.84	$1,013.39	$2,254.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,809.77 / $1,815.07 / $2,209.05	Facility		$1,809.77	$1,815.07	$2,209.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,580.01 / $2,120.26 / $3,468.58	Professional		$1,580.01	$2,120.26	$3,468.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,326.62 / $2,326.62 / $3,780.76	Facility		$2,326.62	$2,326.62	$3,780.76
United Facility/Professional Professional Modifier Low / Median / High Price $788.84 / $850.65 / $1,941.45	Professional		$788.84	$850.65	$1,941.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,617.06 / $1,617.06 / $1,617.06	Facility		$1,617.06	$1,617.06	$1,617.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,277.48 / $1,617.06 / $1,617.06	Professional		$1,277.48	$1,617.06	$1,617.06