Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,953.67 / $3,953.67 / $4,309.85	Facility		$3,953.67	$3,953.67	$4,309.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,927.40 / $1,927.40 / $2,148.94	Professional		$1,927.40	$1,927.40	$2,148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.73 / $2,658.48 / $2,858.82	Professional		$2,545.73	$2,658.48	$2,858.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.09 / $2,990.79 / $3,876.95	Professional		$1,883.09	$2,990.79	$3,876.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,705.86 / $2,858.82 / $10,523.15	Facility		$1,705.86	$2,858.82	$10,523.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,329.24 / $2,215.40 / $11,032.69	Professional		$1,329.24	$2,215.40	$11,032.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,658.48 / $2,880.02 / $4,855.22	Facility		$2,658.48	$2,880.02	$4,855.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,658.48 / $2,880.02 / $4,563.72	Professional		$2,658.48	$2,880.02	$4,563.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.24 / $1,373.55 / $6,044.28	Professional		$1,329.24	$1,373.55	$6,044.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $2,215.40	Professional		$2,215.40	$2,215.40	$2,215.40