Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,029.53 / $2,758.78 / $2,758.78	Facility		$2,029.53	$2,758.78	$2,758.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.19 / $1,675.42 / $2,529.09	Professional		$1,203.19	$1,675.42	$2,529.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $3,477.42	Facility		$1,743.07	$1,743.07	$3,477.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,080.29 / $3,818.25 / $4,772.81	Professional		$3,080.29	$3,818.25	$4,772.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,888.29 / $3,293.69 / $3,669.33	Professional		$2,888.29	$3,293.69	$3,669.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,016.01 / $4,109.68 / $14,630.94	Facility		$2,016.01	$4,109.68	$14,630.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,511.30 / $1,944.05 / $4,319.25	Professional		$1,511.30	$1,944.05	$4,319.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.26 / $3,477.42 / $4,237.74	Facility		$3,467.26	$3,477.42	$4,237.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,848.03 / $4,062.11 / $6,645.28	Professional		$2,848.03	$4,062.11	$6,645.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,511.30 / $1,629.71 / $3,719.58	Professional		$1,511.30	$1,629.71	$3,719.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,098.06 / $3,098.06 / $3,098.06	Facility		$3,098.06	$3,098.06	$3,098.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,447.46 / $3,098.06 / $3,098.06	Professional		$2,447.46	$3,098.06	$3,098.06