Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.86 / $1,951.22 / $1,951.22	Facility		$1,716.86	$1,951.22	$1,951.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.67 / $1,250.20 / $1,968.83	Professional		$975.67	$1,250.20	$1,968.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,549.92	Facility		$1,800.00	$1,800.00	$2,549.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,700.75 / $3,375.94	Professional		$1,800.00	$2,700.75	$3,375.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.00 / $2,318.00 / $2,360.00	Professional		$1,966.00	$2,318.00	$2,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,478.29 / $2,978.65 / $10,007.20	Facility		$1,478.29	$2,978.65	$10,007.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.21 / $1,450.65 / $3,167.22	Professional		$1,108.21	$1,450.65	$3,167.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,542.46 / $2,549.92 / $3,162.21	Facility		$2,542.46	$2,549.92	$3,162.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,088.41 / $2,978.65 / $4,872.87	Professional		$2,088.41	$2,978.65	$4,872.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,172.06 / $2,727.60	Professional		$1,104.92	$1,172.06	$2,727.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,271.75 / $2,271.75 / $2,271.75	Facility		$2,271.75	$2,271.75	$2,271.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,794.68 / $2,271.75 / $2,271.75	Professional		$1,794.68	$2,271.75	$2,271.75