Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $4,038.28 / $5,648.64	Facility		$2,075.80	$4,038.28	$5,648.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.03 / $1,598.37 / $1,598.37	Professional		$1,370.03	$1,598.37	$1,598.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.96 / $2,490.96 / $2,490.96	Facility		$2,490.96	$2,490.96	$2,490.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,490.96 / $3,769.92 / $4,712.39	Professional		$2,490.96	$3,769.92	$4,712.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,283.38 / $2,594.75 / $3,757.20	Professional		$2,283.38	$2,594.75	$3,757.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,075.80 / $2,698.54 / $9,860.04	Facility		$2,075.80	$2,698.54	$9,860.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.48 / $1,245.48 / $5,249.70	Professional		$1,245.48	$1,245.48	$5,249.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,490.96 / $2,698.54 / $5,709.37	Facility		$2,490.96	$2,698.54	$5,709.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,490.96 / $4,276.14 / $5,709.37	Professional		$2,490.96	$4,276.14	$5,709.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.48 / $1,245.48 / $4,250.20	Professional		$1,245.48	$1,245.48	$4,250.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,639.88 / $2,075.80 / $2,075.80	Professional		$1,639.88	$2,075.80	$2,075.80