Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $4,365.16	Facility		$3,388.44	$3,801.89	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,801.89	Professional		$1,819.70	$2,511.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,495.41	Facility		$3,235.94	$3,235.94	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $7,413.10	Professional		$3,235.94	$6,025.60	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $5,754.40	Professional		$4,168.69	$5,128.61	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $22,387.21	Facility		$3,388.44	$6,309.57	$22,387.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $8,317.64	Professional		$2,344.23	$3,162.28	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $6,456.54	Professional		$5,370.32	$5,623.41	$6,456.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $8,317.64 / $8,317.64	Professional		$4,786.30	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $6,918.31	Facility		$1,995.26	$3,235.94	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $4,466.84	Professional		$2,290.87	$2,511.89	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $4,786.30	Professional		$3,801.89	$4,786.30	$4,786.30