Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.01 / $1,907.93 / $1,907.93	Facility		$1,249.01	$1,907.93	$1,907.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.08 / $1,112.24 / $1,786.54	Professional		$759.08	$1,112.24	$1,786.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,517.90	Facility		$1,473.53	$1,473.53	$2,517.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,473.53 / $2,640.75 / $3,300.94	Professional		$1,473.53	$2,640.75	$3,300.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.65 / $2,349.12 / $2,878.46	Professional		$1,945.65	$2,349.12	$2,878.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,459.74 / $2,746.80 / $9,391.64	Facility		$1,459.74	$2,746.80	$9,391.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,018.76 / $1,290.15 / $3,127.44	Professional		$1,018.76	$1,290.15	$3,127.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,510.53 / $2,517.90 / $3,017.72	Facility		$2,510.53	$2,517.90	$3,017.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,970.69 / $2,711.57 / $4,811.64	Professional		$1,970.69	$2,711.57	$4,811.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $1,141.96 / $2,693.28	Professional		$1,055.83	$1,141.96	$2,693.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,243.21 / $2,243.21 / $2,243.21	Facility		$2,243.21	$2,243.21	$2,243.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,772.14 / $2,243.21 / $2,243.21	Professional		$1,772.14	$2,243.21	$2,243.21