Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.08 / $1,940.79 / $1,940.79	Facility		$1,282.08	$1,940.79	$1,940.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.41 / $1,146.83 / $1,811.33	Professional		$845.41	$1,146.83	$1,811.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,071.33	Facility		$1,498.90	$1,498.90	$2,071.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.90 / $2,686.13 / $3,357.66	Professional		$1,498.90	$2,686.13	$3,357.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.99 / $2,003.27 / $2,317.09	Professional		$1,734.99	$2,003.27	$2,317.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.83 / $2,447.94 / $9,517.39	Facility		$1,200.83	$2,447.94	$9,517.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.21 / $1,202.83 / $2,572.77	Professional		$900.21	$1,202.83	$2,572.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,065.27 / $2,071.33 / $2,677.06	Facility		$2,065.27	$2,071.33	$2,677.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,696.43 / $2,419.61 / $3,958.28	Professional		$1,696.43	$2,419.61	$3,958.28
United Facility/Professional Professional Modifier Low / Median / High Price $900.21 / $939.43 / $1,926.62	Professional		$900.21	$939.43	$1,926.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,845.37 / $1,845.37 / $1,845.37	Facility		$1,845.37	$1,845.37	$1,845.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,457.84 / $1,845.37 / $1,845.37	Professional		$1,457.84	$1,845.37	$1,845.37