Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.10 / $1,533.24 / $1,533.24	Facility		$1,349.10	$1,533.24	$1,533.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.68 / $982.39 / $1,547.10	Professional		$766.68	$982.39	$1,547.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $2,003.75	Facility		$1,022.07	$1,022.07	$2,003.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.07 / $2,122.13 / $2,652.66	Professional		$1,022.07	$2,122.13	$2,652.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.99 / $2,457.50 / $2,950.00	Professional		$1,738.99	$2,457.50	$2,950.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,198.01 / $2,340.66 / $7,863.62	Facility		$1,198.01	$2,340.66	$7,863.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $868.25 / $1,162.43 / $2,488.82	Professional		$868.25	$1,162.43	$2,488.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,003.75 / $2,003.75 / $2,484.86	Facility		$2,003.75	$2,003.75	$2,484.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,641.07 / $2,353.33 / $3,829.13	Professional		$1,641.07	$2,353.33	$3,829.13
United Facility/Professional Professional Modifier Low / Median / High Price $868.25 / $966.62 / $2,379.67	Professional		$868.25	$966.62	$2,379.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,821.59 / $1,821.59 / $1,821.59	Facility		$1,821.59	$1,821.59	$1,821.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,439.06 / $1,821.59 / $1,821.59	Professional		$1,439.06	$1,821.59	$1,821.59