Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.23 / $2,693.42 / $2,693.42	Facility		$2,570.23	$2,693.42	$2,693.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.41 / $2,121.78 / $3,155.26	Professional		$1,523.41	$2,121.78	$3,155.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,015.28	Facility		$2,507.59	$2,507.59	$4,015.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,507.59 / $4,494.00 / $5,617.50	Professional		$2,507.59	$4,494.00	$5,617.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,061.68 / $3,308.06 / $3,876.39	Professional		$3,061.68	$3,308.06	$3,876.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,293.08 / $4,690.39 / $18,505.52	Facility		$2,293.08	$4,690.39	$18,505.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,745.06 / $1,991.16 / $4,987.31	Professional		$1,745.06	$1,991.16	$4,987.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,003.54 / $4,015.28 / $5,366.77	Facility		$4,003.54	$4,015.28	$5,366.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,288.54 / $4,690.39 / $7,673.12	Professional		$3,288.54	$4,690.39	$7,673.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,745.06 / $1,821.07 / $4,295.01	Professional		$1,745.06	$1,821.07	$4,295.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,577.25 / $3,577.25 / $3,577.25	Facility		$3,577.25	$3,577.25	$3,577.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,826.03 / $3,577.25 / $3,577.25	Professional		$2,826.03	$3,577.25	$3,577.25