Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.70 / $3,675.58 / $3,675.58	Facility		$2,884.70	$3,675.58	$3,675.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.36 / $2,381.38 / $3,690.48	Professional		$1,783.36	$2,381.38	$3,690.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $4,656.78	Facility		$2,728.17	$2,728.17	$4,656.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,103.91 / $5,087.25 / $6,359.06	Professional		$4,103.91	$5,087.25	$6,359.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,105.89 / $4,390.25 / $5,319.99	Professional		$4,105.89	$4,390.25	$5,319.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,699.73 / $5,503.47 / $20,802.65	Facility		$2,699.73	$5,503.47	$20,802.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,023.86 / $2,704.23 / $5,784.11	Professional		$2,023.86	$2,704.23	$5,784.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,643.16 / $4,656.78 / $6,023.40	Facility		$4,643.16	$4,656.78	$6,023.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,813.92 / $5,485.37 / $8,899.02	Professional		$3,813.92	$5,485.37	$8,899.02
United Facility/Professional Professional Modifier Low / Median / High Price $2,093.17 / $2,133.67 / $5,548.27	Professional		$2,093.17	$2,133.67	$5,548.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,148.77 / $4,148.77 / $4,148.77	Facility		$4,148.77	$4,148.77	$4,148.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,277.53 / $4,148.77 / $4,148.77	Professional		$3,277.53	$4,148.77	$4,148.77