Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $1,949.84	Facility		$1,318.26	$1,862.09	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,862.09	Professional		$870.96	$1,148.15	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,630.27	Facility		$1,122.02	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $3,388.44	Professional		$1,122.02	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,630.27	Professional		$1,995.26	$2,344.23	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $9,772.37	Facility		$1,621.81	$2,754.23	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,981.07	Professional		$1,096.48	$1,380.38	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $3,090.30	Professional		$2,630.27	$2,691.53	$3,090.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $3,981.07	Professional		$2,089.30	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,951.21	Facility		$891.25	$1,380.38	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,187.76	Professional		$1,023.29	$1,174.90	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,344.23	Professional		$1,819.70	$2,344.23	$2,344.23