Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,459.53 / $4,459.53 / $8,437.71	Facility		$4,459.53	$4,459.53	$8,437.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $4,459.53	Professional		$3,817.28	$3,817.28	$4,459.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,572.21 / $3,572.21 / $4,465.27	Professional		$3,572.21	$3,572.21	$4,465.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,720.31 / $3,468.50 / $5,797.39	Professional		$2,720.31	$3,468.50	$5,797.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,641.18 / $3,772.85 / $5,399.30	Facility		$3,641.18	$3,772.85	$5,399.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,961.49 / $4,527.42	Professional		$3,772.85	$3,961.49	$4,527.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,207.25 / $5,325.14 / $8,253.41	Facility		$4,207.25	$5,325.14	$8,253.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,641.18 / $4,207.25 / $4,527.42	Professional		$3,641.18	$4,207.25	$4,527.42
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,008.14 / $4,542.56	Professional		$3,817.28	$4,008.14	$4,542.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $3,772.85 / $3,772.85	Facility		$3,772.85	$3,772.85	$3,772.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,772.85 / $3,772.85	Professional		$3,772.85	$3,772.85	$3,772.85