Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,327.84 / $3,893.24 / $3,893.24	Facility		$3,327.84	$3,893.24	$3,893.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.94 / $2,504.26 / $3,651.03	Professional		$1,736.94	$2,504.26	$3,651.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $4,913.17	Facility		$3,006.81	$3,006.81	$4,913.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,006.81 / $5,388.75 / $6,735.94	Professional		$3,006.81	$5,388.75	$6,735.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,169.58 / $4,663.13 / $5,713.91	Professional		$4,169.58	$4,663.13	$5,713.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,848.38 / $5,806.48 / $22,146.98	Facility		$2,848.38	$5,806.48	$22,146.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,135.29 / $2,853.13 / $6,102.58	Professional		$2,135.29	$2,853.13	$6,102.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,898.80 / $4,913.17 / $6,334.24	Facility		$4,898.80	$4,913.17	$6,334.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,023.91 / $5,739.27 / $9,388.99	Professional		$4,023.91	$5,739.27	$9,388.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,080.16 / $2,404.10 / $5,853.75	Professional		$2,080.16	$2,404.10	$5,853.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,377.18 / $4,377.18 / $4,377.18	Facility		$4,377.18	$4,377.18	$4,377.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,457.98 / $4,377.18 / $4,377.18	Professional		$3,457.98	$4,377.18	$4,377.18