Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.59 / $2,008.64 / $2,008.64	Facility		$1,496.59	$2,008.64	$2,008.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $1,170.95 / $1,938.01	Professional		$793.42	$1,170.95	$1,938.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,731.39	Facility		$1,551.30	$1,551.30	$2,731.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.30 / $2,780.25 / $3,475.31	Professional		$1,551.30	$2,780.25	$3,475.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.20 / $2,345.84 / $2,483.08	Professional		$1,954.20	$2,345.84	$2,483.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,583.50 / $3,047.42 / $9,894.54	Facility		$1,583.50	$3,047.42	$9,894.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.27 / $1,410.27 / $3,392.60	Professional		$1,130.27	$1,410.27	$3,392.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,723.38 / $2,731.39 / $3,273.59	Facility		$2,723.38	$2,731.39	$3,273.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,186.37 / $2,941.47 / $5,219.60	Professional		$2,186.37	$2,941.47	$5,219.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.18 / $1,251.49 / $2,921.62	Professional		$1,098.18	$1,251.49	$2,921.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,433.42 / $2,433.42 / $2,433.42	Facility		$2,433.42	$2,433.42	$2,433.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,922.40 / $2,433.42 / $2,433.42	Professional		$1,922.40	$2,433.42	$2,433.42