Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $4,317.10 / $6,038.65	Facility		$2,219.13	$4,317.10	$6,038.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.63 / $1,464.63 / $1,464.63	Professional		$1,464.63	$1,464.63	$1,464.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,662.96 / $2,662.96 / $2,662.96	Facility		$2,662.96	$2,662.96	$2,662.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $4,030.39 / $5,037.97	Professional		$2,549.86	$4,030.39	$5,037.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.26 / $2,884.87 / $3,883.48	Professional		$1,886.26	$2,884.87	$3,883.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,219.13 / $2,868.22 / $5,925.08	Facility		$2,219.13	$2,868.22	$5,925.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.48 / $1,331.48 / $5,104.00	Professional		$1,331.48	$1,331.48	$5,104.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,662.96 / $3,883.48 / $4,859.10	Facility		$2,662.96	$3,883.48	$4,859.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,662.96 / $3,883.48 / $4,859.10	Professional		$2,662.96	$3,883.48	$4,859.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.48 / $1,331.48 / $4,837.70	Professional		$1,331.48	$1,331.48	$4,837.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,753.11 / $2,219.13 / $2,219.13	Professional		$1,753.11	$2,219.13	$2,219.13