Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.43 / $1,624.93 / $1,624.93	Facility		$1,411.43	$1,624.93	$1,624.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $1,165.17 / $1,630.77	Professional		$808.15	$1,165.17	$1,630.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $2,133.98	Facility		$1,254.96	$1,254.96	$2,133.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.96 / $2,248.88 / $2,811.09	Professional		$1,254.96	$2,248.88	$2,811.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.54 / $1,982.86 / $2,380.23	Professional		$1,881.54	$1,982.86	$2,380.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.16 / $2,521.98 / $9,310.49	Facility		$1,237.16	$2,521.98	$9,310.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.20 / $1,290.45 / $2,650.58	Professional		$959.20	$1,290.45	$2,650.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,127.75 / $2,133.98 / $2,947.14	Facility		$2,127.75	$2,133.98	$2,947.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,747.75 / $2,492.79 / $4,078.00	Professional		$1,747.75	$2,492.79	$4,078.00
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $959.20 / $1,029.45 / $2,282.65	Professional		$959.20	$1,029.45	$2,282.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,901.19 / $1,901.19 / $1,901.19	Facility		$1,901.19	$1,901.19	$1,901.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,501.94 / $1,901.19 / $1,901.19	Professional		$1,501.94	$1,901.19	$1,901.19