Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.22 / $1,741.36 / $1,741.36	Facility		$1,532.22	$1,741.36	$1,741.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.58 / $1,319.30 / $1,757.11	Professional		$905.58	$1,319.30	$1,757.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,275.67	Facility		$1,650.90	$1,650.90	$2,275.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,650.90 / $2,410.13 / $3,635.73	Professional		$1,650.90	$2,410.13	$3,635.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $5,773.18 / $7,074.10	Professional		$1,975.05	$5,773.18	$7,074.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.30 / $3,101.03 / $9,683.48	Facility		$1,319.30	$3,101.03	$9,683.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.09 / $1,720.17 / $3,301.89	Professional		$1,032.09	$1,720.17	$3,301.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,275.67 / $2,658.30 / $3,573.21	Facility		$2,275.67	$2,658.30	$3,573.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,269.01 / $2,843.64 / $5,359.81	Professional		$2,269.01	$2,843.64	$5,359.81
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $1,083.54 / $2,162.13	Facility		$2.29	$1,083.54	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.90 / $1,295.69 / $2,711.33	Professional		$1,022.90	$1,295.69	$2,711.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,068.80 / $2,068.80 / $2,068.80	Facility		$2,068.80	$2,068.80	$2,068.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,634.35 / $2,068.80 / $2,068.80	Professional		$1,634.35	$2,068.80	$2,068.80