Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,679.48 / $2,679.48 / $2,836.44	Facility		$2,679.48	$2,679.48	$2,836.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.03 / $2,069.06 / $3,462.97	Professional		$1,549.03	$2,069.06	$3,462.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $4,221.10	Facility		$2,326.75	$2,326.75	$4,221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,326.75 / $4,470.75 / $5,588.44	Professional		$2,326.75	$4,470.75	$5,588.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,645.50 / $3,872.20 / $4,183.80	Professional		$3,645.50	$3,872.20	$4,183.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,410.63 / $4,555.12 / $17,957.82	Facility		$2,410.63	$4,555.12	$17,957.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,718.66 / $1,986.30 / $5,233.45	Professional		$1,718.66	$1,986.30	$5,233.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,208.76 / $4,221.10 / $5,233.45	Facility		$4,208.76	$4,221.10	$5,233.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,457.12 / $4,930.83 / $8,066.47	Professional		$3,457.12	$4,930.83	$8,066.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,703.33 / $1,914.43 / $5,013.22	Professional		$1,703.33	$1,914.43	$5,013.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,760.62 / $3,760.62 / $3,760.62	Facility		$3,760.62	$3,760.62	$3,760.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,970.89 / $3,760.62 / $3,760.62	Professional		$2,970.89	$3,760.62	$3,760.62