Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,018.45 / $6,018.45 / $7,245.88	Facility		$6,018.45	$6,018.45	$7,245.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,224.69 / $5,521.76 / $8,311.20	Professional		$3,224.69	$5,521.76	$8,311.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,933.43 / $4,933.43 / $10,012.70	Facility		$4,933.43	$4,933.43	$10,012.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,933.43 / $10,012.70 / $14,446.88	Professional		$4,933.43	$10,012.70	$14,446.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $955.31 / $955.31 / $13,466.25	Professional		$955.31	$955.31	$13,466.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,310.69 / $12,122.36 / $54,554.97	Facility		$1,310.69	$12,122.36	$54,554.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,389.85 / $5,634.03 / $13,607.34	Professional		$4,389.85	$5,634.03	$13,607.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.34 / $1,127.34 / $2,664.64	Facility		$1,127.34	$1,127.34	$2,664.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,118.76 / $1,347.30 / $2,664.64	Professional		$1,118.76	$1,347.30	$2,664.64
United Facility/Professional Facility Modifier Low / Median / High Price $538.27 / $4,036.99 / $7,189.03	Facility		$538.27	$4,036.99	$7,189.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,788.92 / $5,796.70 / $13,607.34	Professional		$4,788.92	$5,796.70	$13,607.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,286.75 / $9,223.74 / $9,223.74	Professional		$7,286.75	$9,223.74	$9,223.74