Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.37 / $2,050.17 / $2,050.17	Facility		$1,800.37	$2,050.17	$2,050.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.17 / $1,313.28 / $2,068.71	Professional		$1,025.17	$1,313.28	$2,068.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,679.28	Facility		$1,366.32	$1,366.32	$2,679.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.32 / $2,837.63 / $3,547.03	Professional		$1,366.32	$2,837.63	$3,547.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,275.64 / $2,447.69 / $2,731.70	Professional		$2,275.64	$2,447.69	$2,731.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,553.29 / $3,129.76 / $11,410.07	Facility		$1,553.29	$3,129.76	$11,410.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,164.43 / $1,555.88 / $3,327.89	Professional		$1,164.43	$1,555.88	$3,327.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,671.43 / $2,679.28 / $3,321.79	Facility		$2,671.43	$2,679.28	$3,321.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,194.34 / $3,129.76 / $5,120.07	Professional		$2,194.34	$3,129.76	$5,120.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.43 / $1,231.20 / $3,192.20	Professional		$1,164.43	$1,231.20	$3,192.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $2,387.00 / $2,387.00	Facility		$2,387.00	$2,387.00	$2,387.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,885.73 / $2,387.00 / $2,387.00	Professional		$1,885.73	$2,387.00	$2,387.00