Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,430.48 / $3,430.48 / $3,638.71	Facility		$3,430.48	$3,430.48	$3,638.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.18 / $2,649.64 / $4,433.55	Professional		$1,983.18	$2,649.64	$4,433.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $5,404.22	Facility		$2,756.64	$2,756.64	$5,404.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,617.29 / $5,723.63 / $7,154.53	Professional		$4,617.29	$5,723.63	$7,154.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,667.28 / $5,773.08 / $6,526.99	Professional		$4,667.28	$5,773.08	$6,526.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,086.29 / $5,831.82 / $22,996.26	Facility		$3,086.29	$5,831.82	$22,996.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.91 / $2,543.66 / $6,701.92	Professional		$2,200.91	$2,543.66	$6,701.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,388.40 / $5,404.22 / $6,701.92	Facility		$5,388.40	$5,404.22	$6,701.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,426.08 / $6,312.87 / $10,327.35	Professional		$4,426.08	$6,312.87	$10,327.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,181.28 / $2,451.01 / $6,302.76	Professional		$2,181.28	$2,451.01	$6,302.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,814.67 / $4,814.67 / $4,814.67	Facility		$4,814.67	$4,814.67	$4,814.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,803.59 / $4,814.67 / $4,814.67	Professional		$3,803.59	$4,814.67	$4,814.67