Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,174.01 / $2,770.64 / $2,770.64	Facility		$2,174.01	$2,770.64	$2,770.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.53 / $1,654.37 / $2,523.51	Professional		$1,200.53	$1,654.37	$2,523.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $3,054.39	Facility		$2,084.13	$2,084.13	$3,054.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.13 / $3,834.75 / $4,793.43	Professional		$2,084.13	$3,834.75	$4,793.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.04 / $3,307.84 / $3,658.00	Professional		$2,693.04	$3,307.84	$3,658.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.76 / $3,660.71 / $14,469.30	Facility		$1,770.76	$3,660.71	$14,469.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,372.92 / $1,832.26 / $3,793.80	Professional		$1,372.92	$1,832.26	$3,793.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,045.45 / $3,054.39 / $4,184.49	Facility		$3,045.45	$3,054.39	$4,184.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,547.14 / $3,609.74 / $5,836.88	Professional		$2,547.14	$3,609.74	$5,836.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,134.95 / $1,815.91 / $2,070.48	Facility		$1,134.95	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,327.45 / $1,550.97 / $3,267.16	Professional		$1,327.45	$1,550.97	$3,267.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,721.19 / $2,721.19 / $2,721.19	Facility		$2,721.19	$2,721.19	$2,721.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,149.73 / $2,721.19 / $2,721.19	Professional		$2,149.73	$2,721.19	$2,721.19