Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,740.49 / $4,752.33 / $4,752.33	Facility		$3,740.49	$4,752.33	$4,752.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.75 / $2,770.40 / $4,080.53	Professional		$1,909.75	$2,770.40	$4,080.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $5,751.00	Facility		$3,670.30	$3,670.30	$5,751.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,670.30 / $6,577.50 / $8,221.87	Professional		$3,670.30	$6,577.50	$8,221.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,822.70 / $5,673.77 / $6,244.35	Professional		$4,822.70	$5,673.77	$6,244.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,334.09 / $6,796.63 / $24,492.50	Facility		$3,334.09	$6,796.63	$24,492.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,499.41 / $3,194.91 / $7,143.22	Professional		$2,499.41	$3,194.91	$7,143.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,734.18 / $5,751.00 / $6,964.46	Facility		$5,734.18	$5,751.00	$6,964.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,710.10 / $6,717.95 / $10,990.03	Professional		$4,710.10	$6,717.95	$10,990.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,585.02 / $2,608.28 / $6,720.59	Professional		$2,585.02	$2,608.28	$6,720.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,123.62 / $5,123.62 / $5,123.62	Facility		$5,123.62	$5,123.62	$5,123.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,047.66 / $5,123.62 / $5,123.62	Professional		$4,047.66	$5,123.62	$5,123.62