Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,893.61 / $3,893.61 / $8,091.90	Facility		$3,893.61	$3,893.61	$8,091.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,893.61 / $33,428.64	Professional		$3,660.83	$3,893.61	$33,428.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,729.90 / $3,729.90 / $3,729.90	Facility		$3,729.90	$3,729.90	$3,729.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,632.59 / $3,632.59 / $4,540.72	Professional		$3,632.59	$3,632.59	$4,540.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.78 / $3,660.83 / $5,994.89	Professional		$1,284.78	$3,660.83	$5,994.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,440.48 / $3,837.14 / $4,615.06	Facility		$2,440.48	$3,837.14	$4,615.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,883.96 / $3,638.86 / $4,615.06	Professional		$2,883.96	$3,638.86	$4,615.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,837.14 / $5,325.08 / $7,100.10	Facility		$3,837.14	$5,325.08	$7,100.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $888.31 / $4,047.05 / $5,325.07	Professional		$888.31	$4,047.05	$5,325.07
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,770.65	Professional		$3,660.83	$3,660.83	$3,770.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $3,638.86 / $3,638.86	Facility		$3,638.86	$3,638.86	$3,638.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,638.86 / $3,638.86 / $3,638.86	Professional		$3,638.86	$3,638.86	$3,638.86