Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.98 / $1,960.95 / $1,960.95	Facility		$1,318.98	$1,960.95	$1,960.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.16 / $1,158.74 / $1,850.68	Professional		$861.16	$1,158.74	$1,850.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,608.30	Facility		$1,132.82	$1,132.82	$2,608.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,189.46 / $2,714.25 / $3,392.81	Professional		$2,189.46	$2,714.25	$3,392.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.16 / $2,358.44 / $2,620.50	Professional		$2,143.16	$2,358.44	$2,620.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.14 / $2,900.68 / $9,810.68	Facility		$1,512.14	$2,900.68	$9,810.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,075.83 / $1,346.71 / $3,239.73	Professional		$1,075.83	$1,346.71	$3,239.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,600.67 / $2,608.30 / $3,126.07	Facility		$2,600.67	$2,608.30	$3,126.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,081.09 / $2,808.93 / $4,984.39	Professional		$2,081.09	$2,808.93	$4,984.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.80 / $1,195.18 / $3,043.51	Professional		$1,020.80	$1,195.18	$3,043.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,323.76 / $2,323.76 / $2,323.76	Facility		$2,323.76	$2,323.76	$2,323.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,835.77 / $2,323.76 / $2,323.76	Professional		$1,835.77	$2,323.76	$2,323.76